Individual provider Active NPI

Alexander David Sharr, DPT

  • Physical Therapist
  • Waldorf, MD
National Provider Identifier
1023486800
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25663 Issued in MD
Practice address
11340 Pembrooke SQ Ste 211
Waldorf, MD 20603
Phone
(301) 645-0013
Fax
(301) 645-1183
NPI assigned
Sep 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209702 VA
Physical Therapist 225100000X 25663 MD Primary

Addresses

Primary practice location

11340 Pembrooke SQ Ste 211
Waldorf, MD 20603

Mailing address

44936 Voyage Path Apt 208
California, MD 20619-2475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002000120 MD Practitioner - Physical Therapist in Private Practice 5193076156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11340 Pembrooke SQ
Suite 211
Waldorf, MD 20603-4808
Phone (301) 645-0013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25663MDMDPhysical Therapist
2305209702VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 24, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 24, 2018 Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

11340 Pembrooke Sq
Ste 211
Waldorf, MD 20603
Phone (240) 530-8188

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1023486800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44936 VOYAGE PATH APT 208",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 PEMBROOKE SQ STE 211",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20603",
            "telephone_number": "301-645-0013",
            "fax_number": "301-645-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARR",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209702",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.