Active NPI
Alejandra Paloma Obiedat, PT
- Physical Therapist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16400-024
- Practice address
- 19700 W Bluemound Rd
Brookfield, WI 53045-5909 - Phone
- (262) 797-8676
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- 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 | 16400-024 | WI | Primary |
Addresses
Primary practice location
19700 W Bluemound Rd
Brookfield, WI 53045-5909
Mailing address
19700 W Bluemound Rd
Brookfield, WI 53045-5909
Other names 1
- Alejandra Paloma Obiedat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250418002133 | WI | Practitioner - Physical Therapist in Private Practice | 4486000452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16400-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
14081 Manchester Rd
Ballwin, MO 63011
Phone (636) 223-5700
647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222
21 Silo Dr
Union, MO 63084
Phone (636) 649-4131
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
Organizations & group practices 2
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 Therapy Clinic/Center
- O Fallon, MO
- NPI 1003280421
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772236800000",
"number": "1205510047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19700 W BLUEMOUND RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19700 W BLUEMOUND RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530455909",
"telephone_number": "262-797-8676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIEDAT",
"first_name": "ALEJANDRA",
"middle_name": "PALOMA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16400-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEJANDRA",
"last_name": "OBIEDAT",
"middle_name": "PALOMA",
"credential": "PERALTA-WERNS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.