Individual provider Active NPI

Alexander Halsey, PT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1063385458
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30603 Issued in MD
Practice address
6915 Laurel Bowie Rd Ste 100
Bowie, MD 20715-1715
Phone
(240) 774-0222
Fax
(240) 774-0223
NPI assigned
Sep 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 30603 MD Primary

Addresses

Primary practice location

6915 Laurel Bowie Rd Ste 100
Bowie, MD 20715-1715

Mailing address

8831 Lottsford Rd
Largo, MD 20774-4859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215003064 DC Practitioner - Physical Therapist in Private Practice 7214421403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaddegh Physical Therapy IncGroup PAC ID 5698952422, 9 clinicians

Practice addresses (Care Compare)

6915 Laurel Bowie Rd
Suite 100
Bowie, MD 20715-1715
Phone (240) 245-4245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30603MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc Single Specialty CurrentSince Oct 31, 2025 Accepting new patients
Mosaddegh Physical Therapy Inc. Single Specialty PastSince Oct 13, 2019 Accepting new patients
Mosaddegh Physical Therapy Inc. Single Specialty PastSince Sep 28, 2025 Accepting new patients

Locations

6915 Laurel Bowie Rd
Ste 100
Bowie, MD 20715
Phone (240) 245-4245

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

17902 Georgia Ave
Ste 220
Olney, MD 20832

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": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1063385458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 LOTTSFORD RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD STE 100",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151715",
            "telephone_number": "240-774-0222",
            "fax_number": "240-774-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSEY",
        "first_name": "ALEXANDER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.