Alexandra Noel Bertucci, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026741 Issued in PA

Practice address

325 W Germantown Pike Ste 105
East Norriton, PA 19403-4207

Phone

(267) 534-7614

NPI assigned

Feb 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, CA, FL3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 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.

• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Origin Physical Therapy Ca Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1982169595

  Single Specialty

  Medicare reassignment NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085

  Single Specialty

  NPD (past)
• Sullivan Physical Therapy LLC

  • Physical Therapist
  • Austin, TX
  • NPI 1437377199

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1063913093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 BROWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301704",
            "telephone_number": "302-388-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W GERMANTOWN PIKE STE 105",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034207",
            "telephone_number": "267-534-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTUCCI",
        "first_name": "ALEXANDRA",
        "middle_name": "NOEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035234660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare Bennett, RN CCRN
• Emily Rose Bentz, DMD, MS, FACP
• Robert M Bentz, D.M.D, F.A.C.P.
• Sara Cooley Bentz, D.M.D., F.A.G.D.
• Laure Jean Berrettini, DC
• BH Brightview East Norriton Opco, LLC
• William Biermann, MD
• Daniel Peter Bitetto, M.D.
• Justin J Bittner, DO
• David M Bolden, MD

• Physical Therapist in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.