Individual provider Active NPI

Alexander Barilla

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1083169510
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211672 Issued in VA
Practice address
6856 Richmond Hwy
Alexandria, VA 22306
Phone
(571) 348-1201
Fax
(571) 302-8633
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 040364 NY
Physical Therapist 225100000X 2305211672 VA Primary

Addresses

Primary practice location

6856 Richmond Hwy
Alexandria, VA 22306

Mailing address

4710 Puddledock Road
Suite 100
Prince George, VA 23875-1237
Phone (804) 732-0035

Other practice location 1

1 West Ave
Suite 150
Saratoga Springs, NY 12866-6045
Phone (518) 583-7537

Other practice location 2

4710 Puddledock Road
Suite 100
Prince George, VA 23875-1237
Phone (804) 732-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1083169510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 PUDDLEDOCK ROAD",
            "address_2": "SUITE 100",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751237",
            "telephone_number": "804-732-0035",
            "fax_number": "804-732-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 RICHMOND HWY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22306",
            "telephone_number": "571-348-1201",
            "fax_number": "571-302-8633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 West Ave",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128666045",
            "country_code": "US",
            "telephone_number": "518-583-7537",
            "fax_number": "518-583-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 Puddledock Road",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751237",
            "country_code": "US",
            "telephone_number": "804-732-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARILLA",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.