Active NPI
Alexandra Fiedler, PT, DPT, OCS
- Orthopedic Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1245651272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- CA153118
- Practice address
- 16271 Beach Blvd
Huntington Beach, CA 92647-4102 - Phone
- (714) 375-1755
- NPI assigned
- Dec 17, 2013
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | CA153118 | CA | Primary |
Addresses
Primary practice location
16271 Beach Blvd
Huntington Beach, CA 92647-4102
Mailing address
473 34TH St
Oakland, CA 94609-2815
Phone (510) 339-2116
Other practice location 1
3530 Fruitvale Ave
Oakland, CA 94602-2327
Phone (510) 339-2116
Other practice location 2
473 34th St
Oakland, CA 94609-2815
Phone (510) 339-2116
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA153118 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simon Gibson | 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
- Oakland, CA
- NPI 1497099451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1245651272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 34TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092815",
"telephone_number": "510-339-2116",
"fax_number": "510-339-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16271 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474102",
"telephone_number": "714-375-1755"
}
],
"practiceLocations": [
{
"address_1": "3530 Fruitvale Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946022327",
"country_code": "US",
"telephone_number": "510-339-2116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "473 34th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946092815",
"country_code": "US",
"telephone_number": "510-339-2116",
"fax_number": "510-339-0647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIEDLER",
"first_name": "ALEXANDRA",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "CA153118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.