Individual provider Active NPI

Alexandra C Ryan, PT, DPT

  • Physical Therapist
  • Wyncote, PA
National Provider Identifier
1376219634
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029722 Issued in PA
Practice address
1000 Easton Rd
Wyncote, PA 19095-2918
Phone
(215) 517-7551
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 PT029722 PA Primary

Addresses

Primary practice location

1000 Easton Rd
Wyncote, PA 19095-2918

Mailing address

1654 Old Welsh Rd
Huntingdon Valley, PA 19006-5836
Phone (267) 266-9391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030002038 PA Practitioner - Physical Therapist in Private Practice 9830567221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Physical Therapy and Wellness, LLCGroup PAC ID 1951439694, 12 clinicians

Practice addresses (Care Compare)

864 County Line Rd
Bryn Mawr, PA 19010-2516
Phone (610) 581-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients

Locations

864 County Line Rd
Bryn Mawr, PA 19010
Phone (610) 581-0111

864 County Line Rd
Ste 1
Bryn Mawr, PA 19010

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1376219634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 OLD WELSH RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065836",
            "telephone_number": "267-266-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EASTON RD",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952918",
            "telephone_number": "215-517-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALEXANDRA",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.