Active NPI
Alexander Darrill Neal, DPT
- Physical Therapist
- Pawtucket, RI
National Provider Identifier
1194077990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02521
- Practice address
- 129 School Street
Pawtucket, RI 02860-5305 - Phone
- (401) 726-7100
- Fax
- (401) 722-9386
- NPI assigned
- Oct 4, 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 | PT02521 | RI | Primary |
Addresses
Primary practice location
129 School Street
Pawtucket, RI 02860-5305
Mailing address
1525 Wampanoag Trail
Suite 205
East Providence, RI 02915-1038
Phone (401) 433-4049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Smithfield, RI
- NPI 1013583426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1194077990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 WAMPANOAG TRAIL",
"address_2": "SUITE 205",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029151038",
"telephone_number": "401-433-4049",
"fax_number": "401-433-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 SCHOOL STREET",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605305",
"telephone_number": "401-726-7100",
"fax_number": "401-722-9386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "ALEXANDER",
"middle_name": "DARRILL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.