Charles Jason Alexander, PT, DPT
Individual provider Active NPI Physical Therapist · Durango, CO
NPI 1306185129 · NPPES record last updated Feb 14, 2013
Key facts
- NPI
- 1306185129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL0012060 (CO)
- Practice address
- 1 Mercado St
Suite 201
Durango, CO 81301-7306 - Phone
- (970) 385-0644
- Fax
- (970) 385-0620
- NPI assigned
- Feb 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of New Mexico School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Durango Urgent Care LLC
Practice addresses (Care Compare)
2577 Main Ave
Durango, CO 81301-5919
Phone (970) 247-8382
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130506000119 | CO | Practitioner - Physical Therapist in Private Practice | 2466699780 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL0012060 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durango Urgent Care LLC | Current |
Accepting new patients |
Locations
1942 E Main St
Cortez, CO 81321
Phone (970) 516-5500
2577 Main Ave
Durango, CO 81301
Phone (970) 247-8382
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL0012060 | CO | Yes |
Addresses
Primary practice location
1 Mercado St
Suite 201
Durango, CO 81301-7306
Mailing address
1 Mercado St
Suite 201
Durango, CO 81301-7306
Phone (970) 385-0644
Other providers in Durango, CO
- Rizwan Ahmed
- Rachel Alber
- Jennie Albert
- Albertsons LLC
- Albuquerque Vamc
- Alfred C Nitka MD
- Stephanie Kate Allred
- Alpine Chiropractic, LLP
- Alpine Clinic, LLC
- Alpine Home Health and Hospice, Inc
All providers in Durango, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.