Vernon Alexander
Individual provider Active NPI Physical Therapist · Salem, NH
NPI 1629325626 · NPPES record last updated Aug 8, 2012
Key facts
- NPI
- 1629325626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 033735 (NY)
- Practice address
- 2 Keewaydin Dr
Salem, NH 03079 - Phone
- (800) 995-2673
- Fax
- (866) 420-1055
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- 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 LLC
Empowerme Wellness Kansas City, LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in KS, MO, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6535 | SC | MD | Professional Counselor |
| 033735 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Missouri LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients | |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
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 (636) 255-8094
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033735 | NY | Yes |
Addresses
Primary practice location
2 Keewaydin Dr
Salem, NH 03079
Mailing address
2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673
Other providers in Salem, NH
- Kathryn Adams
- Meghan Adams
- Adi Advanced Digital Imaging PLLC
- Sheri Adigun
- Erika Aiello
- Alissa Allen
- Leah Allen
- Melissa Allen
- Alliance Counseling & Therapeutic
- Michael Amador
All providers in Salem, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.