Individual provider Active NPI

Alexandra Campanale, PT, DPT

  • Physical Therapist
  • Belmar, NJ
National Provider Identifier
1104660596
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02254600 Issued in NJ
Practice address
827 Belmar PLZ
Belmar, NJ 07719-2752
Phone
(732) 807-4720
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02254600 NJ Primary

Addresses

Primary practice location

827 Belmar PLZ
Belmar, NJ 07719-2752

Mailing address

18 Ginger CT
Eatontown, NJ 07724-1869
Phone (732) 674-0403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801003981 NJ Practitioner - Physical Therapist in Private Practice 1658818182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Current Rehabilitation Co LLC 13 clinicians

Practice addresses (Care Compare)

827 Belmar PLZ
Belmar, NJ 07719-2752
Phone (732) 802-4720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Current Rehabilitation Co LLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients

Locations

827 Belmar Plz
Belmar, NJ 07719
Phone (732) 802-4720

2 Main St
Ste 1
Bradley Beach, NJ 07720
Phone (732) 807-4702

Organizations & group practices 1

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1104660596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GINGER CT",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241869",
            "telephone_number": "732-674-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BELMAR PLZ",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192752",
            "telephone_number": "732-807-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANALE",
        "first_name": "ALEXANDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02254600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.