Alexander J Backus, DPT
Individual provider Active NPI Physical Therapist · Waterbury, CT
NPI 1073189486 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1073189486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13105 (CT)
- Practice address
- 8 S Commons Rd
Waterbury, CT 06704-1035 - Phone
- (203) 759-1229
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13105 | CT | Yes |
Addresses
Primary practice location
8 S Commons Rd
Waterbury, CT 06704-1035
Mailing address
258 Anthony Rd
Tolland, CT 06084-3523
Phone (860) 463-8373
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All providers in Waterbury, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.