Active NPI
Alexandra Alise Richards, PT, DPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1306316708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026939
- Practice address
- 3502 Scotts LN Ste 711
Philadelphia, PA 19129-1561 - Phone
- (856) 905-5663
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT026939 | PA | Primary |
Addresses
Primary practice location
3502 Scotts LN Ste 711
Philadelphia, PA 19129-1561
Mailing address
129 N 4TH St Apt 2R
Philadelphia, PA 19106-1997
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT026939 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1306316708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 N 4TH ST APT 2R",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191061997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 SCOTTS LN STE 711",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291561",
"telephone_number": "856-905-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "ALEXANDRA",
"middle_name": "ALISE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.