Active NPI
Alexandra Engelken, DPT
- Physical Therapist
- Decorah, IA
National Provider Identifier
1558770545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 073442
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 382-2911
- NPI assigned
- Aug 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 073442 | IA | Primary |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
901 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-2911
Other practice location 1
110 Washington St
Suite #4
Decorah, IA 52101-1830
Phone (563) 277-1059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140902001668 | IA | Practitioner - Physical Therapist in Private Practice | 7911125067 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Washington University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Winneshiek Medical Center
Practice addresses (Care Compare)
112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients |
Locations
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Organizations & group practices 10
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.
-
- Community/Retail Pharmacy
- Decorah, IA
- NPI 1104507060
-
- Community Based Hospice Care Agency
- Decorah, IA
- NPI 1225186638
-
- Durable Medical Equipment & Medical Supplies
- Decorah, IA
- NPI 1366590796
-
- Home Health Agency
- Decorah, IA
- NPI 1467500876
-
- Critical Access Hospital
- Decorah, IA
- NPI 1619922051
-
- Critical Access Hospital
- Decorah, IA
- NPI 1740339084
-
- Rehabilitation Clinic/Center
- Decorah, IA
- NPI 1811046659
-
- Primary Care Clinic/Center
- Mabel, MN
- NPI 1093857393
-
- Rehabilitation Clinic/Center
- Cresco, IA
- NPI 1427622059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1558770545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911"
}
],
"practiceLocations": [
{
"address_1": "110 Washington St",
"address_2": "Suite #4",
"address_purpose": "LOCATION",
"city": "Decorah",
"state": "IA",
"postal_code": "521011830",
"country_code": "US",
"telephone_number": "563-277-1059",
"fax_number": "563-277-1022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGELKEN",
"first_name": "ALEXANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "073442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.