Active NPI
Alex J King, MPT, CCI
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1154688331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011695
- Practice address
- 463 Ohio Pike
Suite 203
Cincinnati, OH 45255-3721 - Phone
- (513) 247-4340
- Fax
- (512) 247-4360
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- 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 | PT011695 | OH | Primary |
Addresses
Primary practice location
463 Ohio Pike
Suite 203
Cincinnati, OH 45255-3721
Mailing address
463 Ohio Pike
Suite 203
Cincinnati, OH 45255-3721
Phone (513) 247-4340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120507000266 | OH | Practitioner - Physical Therapist in Private Practice | 4284896317 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Cincinnati College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- My Wellness Team LLC
Practice addresses (Care Compare)
4916 N Bend Rd
Cincinnati, OH 45211-2360
Phone (866) 360-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011695 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| My Wellness Team LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1528652096
OH, Physical Therapist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1154688331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 OHIO PIKE",
"address_2": "SUITE 203",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553721",
"telephone_number": "513-247-4340",
"fax_number": "512-247-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 OHIO PIKE",
"address_2": "SUITE 203",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553721",
"telephone_number": "513-247-4340",
"fax_number": "512-247-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ALEX",
"middle_name": "J",
"credential": "MPT, CCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT011695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.