Individual provider Active NPI

Alexandra Christine Kotanides, PT, DPT

  • Physical Therapist
  • Concord, NC
National Provider Identifier
1528675154
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21337 Issued in NC
Practice address
8440 Pitstop CT. NW
Suite 140
Concord, NC 28027-8245
Phone
(704) 960-1729
Fax
(980) 225-7274
NPI assigned
Sep 28, 2020
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 P21337 NC Primary

Addresses

Primary practice location

8440 Pitstop CT. NW
Suite 140
Concord, NC 28027-8245

Mailing address

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Other practice location 1

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21337NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehab LLC Physical Therapist PastSince Jun 1, 2022 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1528675154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 PITSTOP CT. NW",
            "address_2": "SUITE 140",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278245",
            "telephone_number": "704-960-1729",
            "fax_number": "980-225-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 Court Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280541478",
            "country_code": "US",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTANIDES",
        "first_name": "ALEXANDRA",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.