Active NPI
Alexandra Aldridge, DPT
- Physical Therapist
- Conway, AR
National Provider Identifier
1114693074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5044
- Practice address
- 1065 Clayton St Ste 9
Conway, AR 72032-4335 - Phone
- (501) 328-5878
- Fax
- (501) 336-0119
- NPI assigned
- Aug 20, 2021
- Last updated
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5044 | AR | Primary |
Addresses
Primary practice location
1065 Clayton St Ste 9
Conway, AR 72032-4335
Mailing address
PO Box 1168
Conway, AR 72033-1168
Phone (501) 328-5878
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.advancedptcenter.com | Direct | |
| CONNECT URL | 5013285878 | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5044 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1114693074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1168",
"city": "CONWAY",
"state": "AR",
"postal_code": "720331168",
"telephone_number": "501-328-5878",
"fax_number": "501-336-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 CLAYTON ST STE 9",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324335",
"telephone_number": "501-328-5878",
"fax_number": "501-336-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRIDGE",
"first_name": "ALEXANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "5044",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.advancedptcenter.com",
"affiliation": "N",
"endpointDescription": "clinic website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clinic",
"address_1": "1065 Clayton St Ste 9",
"city": "Conway",
"state": "AR",
"country_code": "US",
"postal_code": "720324335",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "5013285878",
"affiliation": "N",
"endpointDescription": "clinic phone",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clinic",
"address_1": "1065 Clayton St Ste 9",
"city": "Conway",
"state": "AR",
"country_code": "US",
"postal_code": "720324335",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.