Individual provider Active NPI

Alexandra W Brown, DPT

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1336473818
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24965 Issued in FL
Practice address
3610 SE Federal Hwy Ste 5
Stuart, FL 34997-4905
Phone
(772) 223-3440
Fax
(772) 221-3373
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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 PT24965 FL Primary

Addresses

Primary practice location

3610 SE Federal Hwy Ste 5
Stuart, FL 34997-4905

Mailing address

3610 SE Federal Hwy Ste 5
Stuart, FL 34997-4905
Phone (772) 223-3440

Other identifiers 1

IdentifierTypeStateIssuer
PT24965OtherFLORIDA PHYSICAL THERAPY BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000559 FL Practitioner - Physical Therapist in Private Practice 1153461991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Physical Therapy LLCGroup PAC ID 7810916897, 21 clinicians

Practice addresses (Care Compare)

200 Admirals Cove Blvd
Jupiter, FL 33477-4046
Phone (561) 632-2160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Physical Therapy LLC Physical Therapist CurrentSince Oct 27, 2012 Accepting new patients
Gina'S Physical Therapy, Inc Physical Therapist PastSince Jul 1, 2003 Accepting new patients

Locations

200 Admirals Cove Blvd
Jupiter, FL 33477
Phone (561) 745-5920

521 Lake Ave
Ste 8
Lake Worth, FL 33460
Phone (305) 484-0832

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1336473818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SE FEDERAL HWY STE 5",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974905",
            "telephone_number": "772-223-3440",
            "fax_number": "772-221-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SE FEDERAL HWY STE 5",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974905",
            "telephone_number": "772-223-3440",
            "fax_number": "772-221-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALEXANDRA",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHYSICAL THERAPY BOARD",
            "identifier": "PT24965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.