Alex Immermann

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5152 Hollister Ave
Goleta, CA 93111-2550

Phone

(805) 681-9108

NPI assigned

Jul 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

George Washington University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Academy Physical Therapy IncGroup PAC ID 1658638499, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Academy Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Providence, RI
  • NPI 1659883742
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376065532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 HOLLISTER AVE",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112550",
            "telephone_number": "805-681-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 HOLLISTER AVE",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112550",
            "telephone_number": "805-681-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMERMANN",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley T. Hunt
• Huy Nguyen DDS Inc
• Alice Hy
• Janet Nancy Iles, M.D.
• Evamaria Illmeier
• Inogen Inc
• Integrative Family Therapy Inc
• Krystle Irvine, MD
• Joe Isaacson, LEP
• Isla Vista Youth Projects

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.