Individual provider Active NPI

Alexandria Deana Wonders, ATC

  • Physical Therapist
  • Land O Lakes, FL
National Provider Identifier
1336764034
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39953 Issued in FL
Practice address
17921 Everlong Dr
Land O Lakes, FL 34638-8272
Phone
(256) 585-4557
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL5558 FL
Physical Therapist 225100000X PT39953 FL Primary

Addresses

Primary practice location

17921 Everlong Dr
Land O Lakes, FL 34638-8272

Mailing address

17921 Everlong Dr
Land O Lakes, FL 34638-8272
Phone (256) 585-4557

Other practice location 1

5705 Post Oak Blvd Apt 214
Wesley Chapel, FL 33544-1856
Phone (256) 585-4557

Other practice location 2

1404 Circle Dr
Tarpon Springs, FL 34689-2010
Phone (256) 585-4557

Other practice location 3

3180 Curlew Rd Unit 101
Oldsmar, FL 34677-2629
Phone (727) 464-2867

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL5558FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Orthopedics LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

3180 Curlew Rd
Unit 101
Oldsmar, FL 34677
Phone (727) 464-2867

Organizations & group practices 1

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1336764034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17921 EVERLONG DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388272",
            "telephone_number": "256-585-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17921 EVERLONG DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388272",
            "telephone_number": "256-585-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5705 Post Oak Blvd Apt 214",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335441856",
            "country_code": "US",
            "telephone_number": "256-585-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346892010",
            "country_code": "US",
            "telephone_number": "256-585-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 Curlew Rd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "346772629",
            "country_code": "US",
            "telephone_number": "727-464-2867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONDERS",
        "first_name": "ALEXANDRIA",
        "middle_name": "DEANA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5558",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.