Alexander Norman Nadeau, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10639 Issued in SC

Practice address

2216 Mariners Fry
Charleston, SC 29414-5808

Phone

(207) 436-5091

NPI assigned

May 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina Physical Therapy LLCGroup PAC ID 8123486677, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Carolina Physical Therapy LLC

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1083284798
  Medicare reassignment Care Compare group NPD
• Love of Language

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1184163842
  NPD

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1033785407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 MARINERS FRY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145808",
            "telephone_number": "207-436-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 MARINERS FRY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145808",
            "telephone_number": "207-436-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "ALEXANDER",
        "middle_name": "NORMAN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033785407",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadeaual@husson.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2216 Mariners Fry",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald L Myrick, MD
• David Pierce Mysona
• Claire Sentilles Nabholz, MD
• Kayla Nacarelli, PA-C
• Jack Matthew Nadaud, MD
• Elizabeth Kata Nadeau, MD
• Tejaswi Ramananda Nadig
• Katherine Nicole Nadolski, MD
• Ubaid Naeem, MD
• Santosh Nagaraju, MBBS

• Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.