Charles Jason Alexander, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0012060 Issued in 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

Last updated

Feb 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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 LLCGroup PAC ID 9335141266, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Durango Urgent Care LLC

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1154354512
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1306185129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-385-0644",
            "fax_number": "970-385-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-385-0644",
            "fax_number": "970-385-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CHARLES",
        "middle_name": "JASON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0012060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rizwan Ahmed, M.D.
• Rachel Alber, MSW, LCSW
• Jennie Albert
• Albertsons LLC (Sav-on Pharmacy #0801)
• Albuquerque Vamc
• Alfred C Nitka MD
• Stephanie Kate Allred, PHD
• Alpine Chiropractic, LLP
• Alpine Clinic, LLC
• Alpine Home Health and Hospice, Inc

• Physical Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.