Individual provider Active NPI

Alexander Maszak, PT, DPT

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1043899693
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
32030 23Rd Ave S
Federal Way, WA 98003-6031
Phone
(253) 946-4852
Fax
(253) 946-4862
NPI assigned
Apr 2, 2021
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 CP004622T GA
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

32030 23Rd Ave S
Federal Way, WA 98003-6031

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

7060 N Durango Dr Ste 130
Las Vegas, NV 89149-4605
Phone (702) 826-5749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NV, WA, AK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210524001277 GA Practitioner - Physical Therapist in Private Practice 1456750512 Reassigns benefits to 3 organizations
I20230217002534 NV Practitioner - Physical Therapist in Private Practice 1456750512 Reassigns benefits to 1 organization
I20240816003045 WA Practitioner - Physical Therapist in Private Practice 1456750512 Reassigns benefits to 1 organization
I20251010002778 AK Practitioner - Physical Therapist in Private Practice 1456750512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy IncGroup PAC ID 5597029793, 13 clinicians

Practice addresses (Care Compare)

601 E Pioneer Ave
Suite 218
Homer, AK 99603-7694
Phone (907) 235-7473

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP004622TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Apr 2, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Apr 2, 2021 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Dec 11, 2021 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Feb 7, 2023 Accepting new patients
Summit Physical Therapy, Inc. Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Dec 11, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Apr 2, 2021 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Feb 7, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Apr 2, 2021 Accepting new patients

Locations

601 E Pioneer Ave
Ste 218
Homer, AK 99603
Phone (907) 235-7473

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

3610 Piedmont Rd NE
Ste 100A
Atlanta, GA 30305
Phone (404) 963-1171

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

6395 Old National Hwy
Ste 300A
College Park, GA 30349
Phone (404) 333-3333

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

155 Medical Way
Ste A
Riverdale, GA 30274
Phone (770) 991-2747

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

7060 N Durango Dr
Ste 130
Las Vegas, NV 89149
Phone (702) 826-5749

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1043899693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32030 23RD AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036031",
            "telephone_number": "253-946-4852",
            "fax_number": "253-946-4862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7060 N Durango Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494605",
            "country_code": "US",
            "telephone_number": "702-826-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASZAK",
        "first_name": "ALEXANDER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP004622T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.