Alexandra Nicole Petrarca, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300575 Issued in CA

Practice address

21 Lower Ragsdale Dr
Monterey, CA 93940-5827

Phone

(831) 264-6040

Fax

(831) 375-8007

NPI assigned

Aug 25, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Monterey Spine & Joint PC

  • Orthopaedic Surgery Physician
  • Monterey, CA
  • NPI 1881620599
  Medicare reassignment NPD
• Monterey Spine & Joint PC

  • Orthopaedic Surgery of the Spine Physician
  • Salinas, CA
  • NPI 1942885835
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Montage Surgical Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Monterey, CA
  • NPI 1629864236
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1366119455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOWER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405827",
            "telephone_number": "831-264-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOWER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405827",
            "telephone_number": "831-264-6040",
            "fax_number": "831-375-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRARCA",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "300575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charmaine Elisabeth Joanna Peters, MD, MS
• Haley Breanne Peters, LCSW
• J Michelle Peterson, LCSW
• John Louis Peterson, MD
• Tara Peterson, LMFT
• Kenneth Samuel Peyton, DPT, CSCS
• Hoang-Tuan K Pham, DO
• Joanna Ha Pham
• Pharmaca Integrative Pharmacy, Inc. (Pharmaca Integrative Pharmacy)
• Philip B Bhaskar DMD a Professional Corporation (Monterey Oral Surgery Dental Group)

• Physical Therapist in Monterey, CA
• Providers in Monterey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.