Individual provider Active NPI

Aaron Alexander, DPT

  • Physical Therapist
  • Poway, CA
National Provider Identifier
1124581129
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT296558 Issued in CA
Practice address
12648 Poway Rd
Poway, CA 92064-4416
Phone
(858) 375-9680
Fax
(858) 375-1999
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT296558 CA Primary
Physical Therapist 225100000X

Addresses

Primary practice location

12648 Poway Rd
Poway, CA 92064-4416

Mailing address

3760 Convoy St Ste 101
San Diego, CA 92111-3743
Phone (888) 208-8526

Other practice location 1

380 Stevens Ave Ste 314
Solana Beach, CA 92075-2069
Phone (858) 755-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611002345 CA Practitioner - Physical Therapist in Private Practice 3173856903 Reassigns benefits to 6 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Ishcorp EnterprisesGroup PAC ID 7214971993, 4 clinicians

Practice addresses (Care Compare)

10390 Santa Monica Blvd
Suite 220
Los Angeles, CA 90025-6960
Phone (310) 659-9911

7451 Warner Ave
Suite a
Huntington Beach, CA 92647-8402

7451 Warner Ave a
Huntington Beach, CA 92647-8402
Phone (714) 593-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT296558CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Rehab, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Rehab Specialists, Inc Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Adi Rehab, Incorporated Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Interface Rehab, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Ishcorp Enterprises Physical Therapist CurrentSince Nov 16, 2019 Accepting new patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Sep 19, 2025 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

2400 W Acacia Ave
Hemet, CA 92545
Phone (951) 492-2841

7451 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 593-0700

2080 Century Park E
Ste 710
Los Angeles, CA 90067
Phone (310) 203-9818

2080 Century Park E
Ste 707
Los Angeles, CA 90067
Phone (310) 553-0123

4560 Admiralty Way
Ste 300
Marina del Rey, CA 90292

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

774 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

Organizations & group practices 12

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1124581129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "888-208-8526",
            "fax_number": "858-751-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12648 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644416",
            "telephone_number": "858-375-9680",
            "fax_number": "858-375-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Stevens Ave Ste 314",
            "address_purpose": "LOCATION",
            "city": "Solana Beach",
            "state": "CA",
            "postal_code": "920752069",
            "country_code": "US",
            "telephone_number": "858-755-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296558",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.