Individual provider Active NPI

Alexandro Medina

  • Physical Therapist
  • Belmont, MA
National Provider Identifier
1295690501
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
88870 Issued in MA
Practice address
413 Trapelo Rd
#2
Belmont, MA 02478
Phone
(617) 932-1027
NPI assigned
Dec 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 88870 MA Primary

Addresses

Primary practice location

413 Trapelo Rd
#2
Belmont, MA 02478

Mailing address

413 Trapelo Rd
#2
Belmont, MA 02478

Other practice location 1

50 Beharrell St
Concord, MA 01742-1749
Phone (617) 932-1027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260228000170 MA Practitioner - Physical Therapist in Private Practice 1557843463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 Trapelo Rd
Unit 2
Belmont, MA 02478-1417
Phone (617) 932-1027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88870MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Performance Physical Therapy and Sports Medicine, L.L.C. CurrentSince Jan 5, 2026 Accepting new patients
Premier Performance Physical Therapy and Sports Medicine, L.L.C. Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients

Locations

50 Beharrell St
Concord, MA 01742
Phone (617) 932-1027

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": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1295690501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 TRAPELO RD",
            "address_2": "#2",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 TRAPELO RD",
            "address_2": "#2",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-932-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Beharrell St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017421749",
            "country_code": "US",
            "telephone_number": "617-932-1027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALEXANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "88870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.