Individual provider Active NPI

Alexandra Johnson, PT, DPT

  • Physical Therapist
  • Athens, TN
National Provider Identifier
1033812987
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14916 Issued in TN
Practice address
933 Decatur Pike
Athens, TN 37303-3037
Phone
(423) 405-0013
Fax
(423) 402-9308
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14916 TN Primary

Addresses

Primary practice location

933 Decatur Pike
Athens, TN 37303-3037

Mailing address

3745 Shawnee Rd Ste 103
Lima, OH 45806-1660
Phone (419) 216-9913

Other practice location 1

1819 Clinch Ave Ste 106
Knoxville, TN 37916-2435
Phone (865) 633-0259

Other practice location 2

6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 282-2025

Other names 1

  • Dr. Alexandra Buchko Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516000190 TN Practitioner - Physical Therapist in Private Practice 0143686220 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Mar 27, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Mar 27, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA Current Accepting new patients

Locations

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

1819 Clinch Ave
Ste 106
Knoxville, TN 37916
Phone (865) 524-5365

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

1679 Veterans Blvd
Sevierville, TN 37862
Phone (865) 401-9062

Interoperability endpoints

  • Direct secure messaging: alexandra.buchko.p2@direct.toa.nextgenshare.com

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1033812987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 SHAWNEE RD STE 103",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061660",
            "telephone_number": "419-216-9913",
            "fax_number": "567-301-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033037",
            "telephone_number": "423-405-0013",
            "fax_number": "423-402-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1819 Clinch Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162435",
            "country_code": "US",
            "telephone_number": "865-633-0259",
            "fax_number": "865-524-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6484 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194863",
            "country_code": "US",
            "telephone_number": "865-282-2025",
            "fax_number": "865-673-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "BUCHKO",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.