Individual provider Active NPI

Alexander Grant Hislop, PT, DPT

  • Physical Therapist
  • Tonawanda, NY
National Provider Identifier
1184509168
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2963 Sheridan Dr
Tonawanda, NY 14150-9418
Phone
(716) 245-6326
NPI assigned
Aug 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2963 Sheridan Dr
Tonawanda, NY 14150-9418

Mailing address

2963 Sheridan Dr
Tonawanda, NY 14150-9418
Phone (716) 245-6326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929000615 NY Practitioner - Physical Therapist in Private Practice 5294230363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2963 Sheridan Dr
Tonawanda, NY 14150-9418
Phone (716) 245-6326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054907NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

2963 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 245-6326

2100 Union Rd
West Seneca, NY 14224
Phone (716) 656-8600

40 George Karl Blvd
Ste 140
Williamsville, NY 14221
Phone (716) 458-1990

Organizations & group practices 1

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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1184509168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509418",
            "telephone_number": "716-245-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509418",
            "telephone_number": "716-245-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISLOP",
        "first_name": "ALEXANDER",
        "middle_name": "GRANT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.