Alexander Andre, DPT
Individual provider Active NPI Physical Therapist · East Lansing, MI
NPI 1104489772 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1104489772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501304078 (MI)
- Practice address
- 4660 S Hagadorn Rd Ste 400
East Lansing, MI 48823-5353 - Phone
- (517) 355-7648
- Fax
- (517) 432-1319
- NPI assigned
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Msu Health Care Inc.
Practice addresses (Care Compare)
4660 S Hagadorn Rd
Suite 400
East Lansing, MI 48823-5353
Phone (517) 355-7648
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260109001199 | MI | Practitioner - Physical Therapist in Private Practice | 2466795299 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501304078 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
4660 S Hagadorn Rd
Ste 400
East Lansing, MI 48823
Phone (517) 355-7648
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501304078 | MI | Yes |
Addresses
Primary practice location
4660 S Hagadorn Rd Ste 400
East Lansing, MI 48823-5353
Mailing address
804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-7648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305212621 | Other | VA | VA PT LICENSE |
Other providers in East Lansing, MI
- Margaret Anne Amendt
- Kristopher Amos-Lopez
- Sandra Ann Amundsen
- Domonique Danielle Anderson
- Rondi Elizabeth Anderson
- Andrea McGuire LLC
- Kayla Andrews
- Angela Hoogterp, DO
- Albert Stanley Aniskiewicz
- Ar'Brieanna Anthony-Baker
All providers in East Lansing, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.