Individual provider Active NPI

Alex Anderson Ball, PT, DPT

  • Physical Therapist
  • Westlake, OH
National Provider Identifier
1508424870
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020156 Issued in OH
Practice address
1512 Hunters Chase Dr Apt 1C
Westlake, OH 44145-6125
Phone
(928) 420-4151
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 11299703-2401 UT
Physical Therapist 225100000X PT020156 OH Primary

Addresses

Primary practice location

1512 Hunters Chase Dr Apt 1C
Westlake, OH 44145-6125

Mailing address

1512 Hunters Chase Dr Apt 1C
Westlake, OH 44145-6125
Phone (928) 420-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190805001990 UT Practitioner - Physical Therapist in Private Practice 6406183086 Reassigns benefits to 1 organization
I20230112000209 OH Practitioner - Physical Therapist in Private Practice 6406183086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11299703-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Single Specialty CurrentSince Aug 14, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 11, 2022 Accepting new patients
Aegis Group Practice LLC Single Specialty Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Nov 11, 2022 Accepting new patients

Organizations & group practices 4

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1508424870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HUNTERS CHASE DR APT 1C",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456125",
            "telephone_number": "928-420-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 HUNTERS CHASE DR APT 1C",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456125",
            "telephone_number": "928-420-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "ALEX",
        "middle_name": "ANDERSON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11299703-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.