Alexandra Chandler, DPT
Individual provider Active NPI Physical Therapist · Trenton, GA
NPI 1184479537 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1184479537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- CP031526T (GA)
- Practice address
- 12415 N Main Street
Trenton, GA 30752 - Phone
- (706) 657-2700
- NPI assigned
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Performance Physical Therapy and Sports Medicine Inc
Practice addresses (Care Compare)
12415 N Main St
Trenton, GA 30752
Phone (706) 528-4207
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240620000614 | GA | Practitioner - Physical Therapist in Private Practice | 7911440805 | Reassigns benefits to 1 organization |
| I20260602003584 | AL | Practitioner - Physical Therapist in Private Practice | 7911440805 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Physical Therapy & Sports Medicine Inc | Physical Therapist | Current |
Accepting new patients |
| Healthactions PA | Physical Therapist | Current |
Accepting new patients |
Locations
1207 Ross Clark Cir
Dothan, AL 36301
Phone (334) 500-1150
106 Pearl Dr
Ste 104
La Fayette, GA 30728
Phone (706) 638-3880
1711 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 528-4207
13423 Highway 27
Ste A
Trion, GA 30753
Phone (706) 696-0505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP031526T | GA | Yes |
Addresses
Primary practice location
12415 N Main Street
Trenton, GA 30752
Mailing address
PO Box 528
Rome, GA 30162-0528
Phone (706) 528-4207
Other practice location 1
13423 Highway 27 Ste A
Trion, GA 30753-1556
Phone (706) 696-0505
Other practice location 2
106 Pearl Dr Ste 104
LA Fayette, GA 30728-7510
Phone (706) 638-3890
Other practice location 3
1711 Martha Berry Blvd NW
Rome, GA 30165-1623
Phone (706) 528-4207
Other providers in Trenton, GA
- Marci Blevins
- Victoria Schaaf Cadavero
- Rose Casey
- Center for Family Medicine
- Center for Family Medicine
- Anuj Chandra
- David Anthony Collins
- Complete Chiropractic Care, LLC
- Jeril Ransom Cooper III
- Barbara Ann Cowan
All providers in Trenton, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.