Alec Cangelosi

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2018018781 Issued in MO

Practice address

9645 Big Bend Blvd
Saint Louis, MO 63122-6521

Phone

(314) 446-2182

NPI assigned

Nov 30, 2018

Last updated

Nov 30, 2018By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1235609322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 WESTWOOD DR APT 3W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226521",
            "telephone_number": "314-446-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGELOSI",
        "first_name": "ALEC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2018018781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Garrett Candelaria
• Deborah Candice
• Ludmilla Candido Santos, MD
• Jamie Lee Candler, DO
• Jessica Canfield
• Robert Bruce Canham, M.D.
• Marsia S Canino, R.N.
• Felicia Cann-Hanson, PROSTHETIC SPECIALIS
• Britni Nicole Cannedy, CRNA
• Andrea Cannito, CRNA

• Physical Medicine & Rehabilitation Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.