Individual provider Active NPI

Alexis Kowalski, PT, DPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1336979558
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23412 Issued in NC
Practice address
5710 Oleander Dr Ste 211
Wilmington, NC 28403-4722
Phone
(910) 821-3380
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 P23412 NC Primary

Addresses

Primary practice location

5710 Oleander Dr Ste 211
Wilmington, NC 28403-4722

Mailing address

355 Arboretum Dr Apt 301
Wilmington, NC 28405-6283
Phone (570) 885-5144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822001079 NC Practitioner - Physical Therapist in Private Practice 4981143914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mid West Medical College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zumbro and Connell IncGroup PAC ID 5698852499, 39 clinicians

Practice addresses (Care Compare)

14057 US Hwy 17 N
Suite 230
Hampstead, NC 28443-3770
Phone (910) 821-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro and Connell, Inc Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

14057 US Highway 17
Ste 230
Hampstead, NC 28443
Phone (910) 821-3377

5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1336979558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ARBORETUM DR APT 301",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056283",
            "telephone_number": "570-885-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 211",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034722",
            "telephone_number": "910-821-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "ALEXIS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.