Alexandra Witt

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

101 NW Englewood Rd Ste 110
Gladstone, MO 64118-4040

Phone

(816) 413-0900

Fax

(816) 413-0737

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Rehabilitation Services LLCGroup PAC ID 8628344819, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Professional Rehabilitation Services, LLC

  • Physical Therapist
  • Troy, MO
  • NPI 1679671119
  Medicare reassignment Care Compare group NPD
• Corvallis Sport and Spine Physical Therapy Inc

  dba Albany Sport and Spine Physical Therapy

  • Physical Therapist
  • Albany, OR
  • NPI 1477991149
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1225777642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023002",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW ENGLEWOOD RD STE 110",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184040",
            "telephone_number": "816-413-0900",
            "fax_number": "816-413-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WH Ar Dental PLLC (Walmart Health)
• Stephanie Ann White, LCSW
• Julie Mary Williams, LMSW
• Rachel Lee Willoughby Greene, MS, LPC, LCPC
• Andrea Gibbs Wilson, LPC
• Woodbine Healthcare LLC (Woodbine Healthcare and Rehabilitation Centre)
• Wyllie Chiropractic, PC
• Bennett Micah Wyllie
• James A Wyllie, D.C., D.A.B.C.O.
• James Kent Wyllie, D.C.

• Physical Therapist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.