NPIMap

Individual provider Active NPI

Alexander Demoz Hailemelekot, PHYSICAL THERAPIST

  • Mechanotherapist
  • La Plata, MD
National Provider Identifier
1285874438
Registry record updated Mar 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
22828 Issued in MD
Practice address
101 Centennial St
Suite 101
La Plata, MD 20646-5975
Phone
(301) 392-3700
Fax
(301) 392-3876
NPI assigned
Mar 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 22828 MD Primary

Addresses

Primary practice location

101 Centennial St
Suite 101
La Plata, MD 20646-5975

Mailing address

708 13TH St NE
Apt. a
Washington, DC 20002-4412
Phone (720) 220-7610

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Plata Physical Therapy PastSince Sep 1, 1999 Accepting new patients
La Plata Physical Therapy Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235865600000",
    "number": "1285874438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 13TH ST NE",
            "address_2": "APT. A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024412",
            "telephone_number": "720-220-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTENNIAL ST",
            "address_2": "SUITE 101",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465975",
            "telephone_number": "301-392-3700",
            "fax_number": "301-392-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEMELEKOT",
        "first_name": "ALEXANDER",
        "middle_name": "DEMOZ",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-01",
        "last_updated": "2009-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MD",
            "license": "22828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; 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.