Individual provider Active NPI

Alexandra Rust, PT, DPT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1023935459
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6267 Issued in SD
Practice address
4295 Sergeant Rd
Sioux City, IA 51106-4625
Phone
(712) 560-0460
Fax
(712) 560-4137
NPI assigned
Jul 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 CP058745T IA
Physical Therapist 225100000X 6267 SD Primary

Addresses

Primary practice location

4295 Sergeant Rd
Sioux City, IA 51106-4625

Mailing address

4295 Sergeant Rd
Sioux City, IA 51106-4625

Other practice location 1

140 Reed St
Akron, IA 51001-7739
Phone (712) 560-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physical Therapy and Wellness LLC Physical Therapist PastSince Jun 25, 2018 Accepting new patients

Organizations & group practices 1

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": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1023935459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064625",
            "telephone_number": "712-560-0460",
            "fax_number": "712-560-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Reed St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "IA",
            "postal_code": "510017739",
            "country_code": "US",
            "telephone_number": "712-560-0460",
            "fax_number": "712-560-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUST",
        "first_name": "ALEXANDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "CP058745T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "6267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.