Individual provider Active NPI

Alexandra C Demus, DPT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1295238566
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302609 Issued in MI
Practice address
3960 Patient Care Dr Ste 117
Lansing, MI 48911-4279
Phone
(517) 325-0996
Fax
(517) 882-8940
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 5501302609 MI Primary

Addresses

Primary practice location

3960 Patient Care Dr Ste 117
Lansing, MI 48911-4279

Mailing address

11878 Hubbard St
Livonia, MI 48150-1733
Phone (734) 953-1745

Other names 1

  • Alexandra Pichurko Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241012000095 MI Practitioner - Physical Therapist in Private Practice 9739443953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302609MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Recovery Project, LLC Physical Therapist CurrentSince Jul 25, 2024 Accepting new patients
Alexander M. Matz P.a. PastSince Dec 1, 2019 Accepting new patients

Locations

3960 Patient Care Dr
Ste 117
Lansing, MI 48911
Phone (517) 325-0996

11878 Hubbard St
Livonia, MI 48150
Phone (734) 953-1745

11878 Hubbard St
Ste 100
Livonia, MI 48150
Phone (734) 743-2909

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": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1295238566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11878 HUBBARD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501733",
            "telephone_number": "734-953-1745",
            "fax_number": "734-953-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE DR STE 117",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114279",
            "telephone_number": "517-325-0996",
            "fax_number": "517-882-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMUS",
        "first_name": "ALEXANDRA",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "PICHURKO",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.