Individual provider Active NPI

Alexander Gerondale

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1427722891
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2990 N Campbell Ave Ste 220
Tucson, AZ 85719-2995
Phone
(520) 407-5706
Fax
(520) 822-8641
NPI assigned
Aug 9, 2021
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X AZ
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2990 N Campbell Ave Ste 220
Tucson, AZ 85719-2995

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556
Phone (520) 225-0129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210823000578 AZ Practitioner - Physical Therapist in Private Practice 2163827684 Reassigns benefits to 1 organization
I20211130002901 NM Practitioner - Physical Therapist in Private Practice 2163827684 Reassigns benefits to 1 organization
I20230410000777 WA Practitioner - Physical Therapist in Private Practice 2163827684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

5393 S Calle Santa Cruz
Suite 107
Tucson, AZ 85706-3556
Phone (520) 225-0129

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Physical Therapy at Dawn, LLC Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Aug 2, 2021 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Ideal Rehabilitation LLC PastSince Mar 17, 2024 Accepting new patients

Locations

11335 W Buckeye Rd
Ste C105
Avondale, AZ 85323

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

2827 W Peoria Ave
Ste B112
Phoenix, AZ 85029
Phone (602) 610-8665

333 E Osborn Rd
Ste 101
Phoenix, AZ 85012
Phone (602) 388-4026

6036 N 19th Ave
Ste 303
Phoenix, AZ 85015
Phone (602) 313-4155

706 E Bell Rd
Ste 121
Phoenix, AZ 85022
Phone (602) 313-4022

16811 N Litchfield Rd
Ste 101
Surprise, AZ 85374
Phone (602) 313-4045

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

2500 N Silverbell Rd
Ste 150
Tucson, AZ 85745
Phone (520) 624-2999

2990 N Campbell Ave
Ste 220
Tucson, AZ 85719
Phone (520) 398-6670

5393 S Calle Santa Cruz
Ste 107
Tucson, AZ 85706
Phone (520) 225-0129

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3510 Coors Blvd SW
Ste D
Albuquerque, NM 87121
Phone (505) 539-1410

600 Central Ave SE
Ste D
Albuquerque, NM 87102
Phone (505) 242-2294

6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930

6330 Riverside Plaza Ln NW
Ste 150
Albuquerque, NM 87120
Phone (505) 242-2294

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

17710 Canyon Rd E
Ste 300
Puyallup, WA 98375
Phone (253) 271-3076

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1427722891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 N CAMPBELL AVE STE 220",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192995",
            "telephone_number": "520-407-5706",
            "fax_number": "520-822-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5393 S Calle Santa Cruz Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857063556",
            "country_code": "US",
            "telephone_number": "520-225-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERONDALE",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.