Individual provider Active NPI

Alixandra Megan Lakow, PT, DPT

  • Physical Therapist
  • Knightdale, NC
National Provider Identifier
1376028464
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18082 Issued in NC
Practice address
162 Legacy Oaks Dr RM 2102
Knightdale, NC 27545-6556
Phone
(919) 373-1799
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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 18082 NC Primary

Addresses

Primary practice location

162 Legacy Oaks Dr RM 2102
Knightdale, NC 27545-6556

Mailing address

162 Legacy Oaks Dr RM 2102
Knightdale, NC 27545-6556
Phone (919) 373-1799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515001798 NC Practitioner - Physical Therapist in Private Practice 6608119649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18082NCMDMental Health Counselor
P18082NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Physical Therapist CurrentSince Oct 20, 2018 Accepting new patients
Duke University Health System, Inc. CurrentSince Oct 20, 2018 Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

162 Legacy Oaks Dr
Ste 2102
Knightdale, NC 27545
Phone (919) 373-1799

162 Legacy Oaks Dr
Rm 2102
Knightdale, NC 27545
Phone (919) 373-1799

10211 Alm St
Ste 212
Raleigh, NC 27617
Phone (919) 206-4868

Organizations & group practices 3

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1376028464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 LEGACY OAKS DR RM 2102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456556",
            "telephone_number": "919-373-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 LEGACY OAKS DR RM 2102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456556",
            "telephone_number": "919-373-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKOW",
        "first_name": "ALIXANDRA",
        "middle_name": "MEGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.