Individual provider Active NPI

Alexandra Marie Patterson Tichy, PT, DPT, SCS

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1477054401
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016151 Issued in MI
Practice address
1819 E Big Beaver Rd Ste 210
Troy, MI 48083-2015
Phone
(313) 550-1592
Fax
(947) 600-7852
NPI assigned
Feb 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 5501016151 MI Primary

Addresses

Primary practice location

1819 E Big Beaver Rd Ste 210
Troy, MI 48083-2015

Mailing address

1034 Whittier Rd
Grosse Pointe Park, MI 48230-1461
Phone (313) 550-1592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429002030 MI Practitioner - Physical Therapist in Private Practice 3274940556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1819 E Big Beaver Rd
Suite 210
Troy, MI 48083-2015
Phone (248) 985-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center for Sports and Performing Arts, PLLC CurrentSince Oct 5, 2020 Accepting new patients
Brain & Body Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

30475 Stephenson Hwy
Madison Heights, MI 48071
Phone (248) 985-2200

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

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": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1477054401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 WHITTIER RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301461",
            "telephone_number": "313-550-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E BIG BEAVER RD STE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832015",
            "telephone_number": "313-550-1592",
            "fax_number": "947-600-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON TICHY",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.