Individual provider Active NPI

Alexandra Sasha Tsibur-Mayer, PT

  • Physical Therapist
  • Dickinson, ND
National Provider Identifier
1508068503
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1224 Issued in ND
Practice address
986 2ND Ave W
Dickinson, ND 58601-3916
Phone
(701) 456-4378
Fax
(701) 456-4809
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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 1224 ND Primary

Addresses

Primary practice location

986 2ND Ave W
Dickinson, ND 58601-3916

Mailing address

324 3Rd St N
Richardton, ND 58652-7110
Phone (701) 690-9840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090223000034 ND Practitioner - Physical Therapist in Private Practice 8426113648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Solutions LLC 19 clinicians

Practice addresses (Care Compare)

448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone (701) 483-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1224NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients

Locations

448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000

1679 6th Ave W
Dickinson, ND 58601
Phone (701) 483-1000

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1508068503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 3RD ST N",
            "city": "RICHARDTON",
            "state": "ND",
            "postal_code": "586527110",
            "telephone_number": "701-690-9840",
            "fax_number": "701-456-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 2ND AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013916",
            "telephone_number": "701-456-4378",
            "fax_number": "701-456-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIBUR-MAYER",
        "first_name": "ALEXANDRA",
        "middle_name": "SASHA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.