Individual provider Active NPI

Alexus Tennant, DPT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1497437891
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40344 Issued in FL
Practice address
805 SE 3Rd Ave Ste 2
Fort Lauderdale, FL 33316-1193
Phone
(954) 256-9052
NPI assigned
Aug 4, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 PT40344 FL Primary

Addresses

Primary practice location

805 SE 3Rd Ave Ste 2
Fort Lauderdale, FL 33316-1193

Mailing address

4137 SW 66TH Way
Davie, FL 33314-3345
Phone (309) 798-8317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825001954 FL Practitioner - Physical Therapist in Private Practice 3173986932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Healthcare IncGroup PAC ID 7911155163, 8 clinicians

Practice addresses (Care Compare)

100 NW 100TH Ave
Plantation, FL 33324-7008
Phone (954) 472-7975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40344FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Healthcare, Inc. Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients

Locations

100 NW 100th Ave
Plantation, FL 33324
Phone (954) 472-7975

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, 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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1497437891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 SW 66TH WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143345",
            "telephone_number": "309-798-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SE 3RD AVE STE 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161193",
            "telephone_number": "954-256-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "ALEXUS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.