Individual provider Active NPI

Alexander Dema, PTA

  • Physical Therapy Assistant
  • Milwaukee, WI
National Provider Identifier
1114819646
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2731-19 Issued in WI
Practice address
8901 N 76TH St
Milwaukee, WI 53223-1901
Phone
(414) 354-0772
Fax
(414) 365-0773
NPI assigned
Jul 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2731-19 WI Primary

Addresses

Primary practice location

8901 N 76TH St
Milwaukee, WI 53223-1901

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452
Phone (414) 858-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10105 W Coldpring Rd
Greenfield, WI 53228

6400 Industrial Loop
Greendale, WI 53129-2452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1114819646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-858-4141",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231901",
            "telephone_number": "414-354-0772",
            "fax_number": "414-365-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMA",
        "first_name": "ALEXANDER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2731-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.