Individual provider Active NPI

Vernon Alexander

  • Physical Therapist
  • Salem, NH
National Provider Identifier
1629325626
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033735 Issued in NY
Practice address
2 Keewaydin Dr
Salem, NH 03079
Phone
(800) 995-2673
Fax
(866) 420-1055
NPI assigned
Aug 8, 2012
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 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 033735 NY Primary

Addresses

Primary practice location

2 Keewaydin Dr
Salem, NH 03079

Mailing address

2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230816004165 KS Practitioner - Physical Therapist in Private Practice 5698137073 Reassigns benefits to 2 organizations
I20230817000788 MO Practitioner - Physical Therapist in Private Practice 5698137073 Reassigns benefits to 2 organizations
I20230921000320 SC Practitioner - Physical Therapist in Private Practice 5698137073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, shared by 4 NPIs, 207 clinicians

Practice addresses (Care Compare)

1051 Kent St
Liberty, MO 64068-2257
Phone (816) 370-5242

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220

4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033735NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Aug 11, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Aug 11, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients

Locations

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (314) 750-4643

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538

Organizations & group practices 8

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1629325626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "800-995-2673",
            "fax_number": "866-420-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "03079",
            "telephone_number": "800-995-2673",
            "fax_number": "866-420-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "VERNON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.