NPIMap

Organization Active NPI

Alpha Physical Therapy Clinic Inc

  • Rehabilitation Clinic/Center
  • Rockledge, FL
National Provider Identifier
1154914596
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ALPHA PHYSICAL THERAPY CLINIC INC
Practice address
147 Orange Ave
Rockledge, FL 32955-2801
Phone
(321) 690-1220
Fax
(321) 690-1223
NPI assigned
Feb 17, 2021
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Hany Mongui S Tawadrous, DPT
Title
President
Phone
(321) 690-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

147 Orange Ave
Rockledge, FL 32955-2801

Mailing address

147 Orange Ave
Rockledge, FL 32955-2801
Phone (321) 690-1220

National Provider Directory

National Provider Directory
Tax ID family
Alpha Physical Therapy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1154914596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ORANGE AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552801",
            "telephone_number": "321-690-1220",
            "fax_number": "321-690-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ORANGE AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552801",
            "telephone_number": "321-690-1220",
            "fax_number": "321-690-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA PHYSICAL THERAPY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "TAWADROUS",
        "authorized_official_first_name": "HANY MONGUI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-690-1223",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.