Individual provider Active NPI

Alexandra Louise August, DPT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1255801551
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043778 Issued in NY
Practice address
600 S Wilbur Ave
Syracuse, NY 13204-2730
Phone
(131) 543-0694
NPI assigned
Nov 29, 2018
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043778 NY Primary

Addresses

Primary practice location

600 S Wilbur Ave
Syracuse, NY 13204-2730

Mailing address

216 Bloomfield St
Baldwinsville, NY 13027-3462
Phone (315) 430-6942

Other identifiers 1

IdentifierTypeStateIssuer
1598806564MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114001618 NY Practitioner - Physical Therapist in Private Practice 4183037088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 S Wilbur Ave
Syracuse, NY 13204-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043778NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. Onondaga County Chapter CurrentSince Dec 17, 2021 Accepting new patients
Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC Physical Therapist CurrentSince Dec 9, 2020 Accepting new patients

Locations

600 S Wilbur Ave
Syracuse, NY 13204
Phone (315) 476-7441

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1255801551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BLOOMFIELD ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273462",
            "telephone_number": "315-430-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WILBUR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042730",
            "telephone_number": "131-543-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUST",
        "first_name": "ALEXANDRA",
        "middle_name": "LOUISE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598806564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.