Alexis Anne Clark, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 022571 Issued in PA

Practice address

860 Beaver Grade Rd Ste C
Moon Township, PA 15108-2639

Phone

(878) 999-9013

NPI assigned

Jun 17, 2008

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexis Anne Domhoff Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Primary Care Physicians, Inc.Group PAC ID 8527967256, 88 clinicians

Drayer Physical Therapy Institute LLCGroup PAC ID 8224948666, 213 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.7 of 100Reported as group

Quality

90.46

Promoting interoperability

100

Improvement activities

40

Cost

78.55

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexisclark@preferred.medentdirect.com

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.

• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Hummelstown, PA
  • NPI 1538122700
  Medicare reassignment Care Compare group NPD
• Preferred Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Canonsburg, PA
  • NPI 1407826019
  Medicare reassignment Care Compare group NPD
• Burgettstown Physical Therapy, LLC

  • Physical Therapist
  • Burgettstown, PA
  • NPI 1568521987
  Medicare reassignment NPD
• Orthopedic & Sports Physical Therapy Associates, Inc.

  • Physical Therapist
  • Charleroi, PA
  • NPI 1689636581
  Medicare reassignment NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1053348409
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1700421716
  NPD
• Orthopedic and Sports Physical Therapy Associates Inc

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1003415829
  NPD
• Preferred Primary Care Physicians, Inc.

  dba PPCP Terence J. Philbin MD

  • Family Medicine Physician
  • Crafton, PA
  • NPI 1265196208
  NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1114187796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BEAVER GRADE RD STE C",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082639",
            "telephone_number": "878-999-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Greentree Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Carnegie",
            "state": "PA",
            "postal_code": "151064203",
            "country_code": "US",
            "telephone_number": "412-249-1663",
            "fax_number": "412-249-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1099 Ohio River Blvd",
            "address_purpose": "LOCATION",
            "city": "Sewickley",
            "state": "PA",
            "postal_code": "151432056",
            "country_code": "US",
            "telephone_number": "412-741-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALEXIS",
        "middle_name": "ANNE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 022571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "DOMHOFF",
            "middle_name": "ANNE",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Moon Township, PA
• Providers in Moon Township, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.