Individual provider Active NPI

Alexander Perdikis

  • Physical Therapist
  • Attleboro, MA
National Provider Identifier
1629632567
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL26153 Issued in MA
Practice address
1395 Commerce Way Ste 112
Attleboro, MA 02703-4695
Phone
(508) 455-5740
Fax
(508) 455-5945
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL26153 MA Primary
Physical Therapist 225100000X PT03195 RI

Addresses

Primary practice location

1395 Commerce Way Ste 112
Attleboro, MA 02703-4695

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

340 Oak St
Pembroke, MA 02359-1956
Phone (781) 829-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825000930 MA Practitioner - Physical Therapist in Private Practice 0941694996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians

Practice addresses (Care Compare)

1395 Commerce Way
Unit 112
Attleboro, MA 02703-4695
Phone (508) 455-5740

Merit-based Incentive Payment System (MIPS)

Final score
24.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL26153MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enea Physical Therapy Corporation Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Peak Physical Therapy Inc Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

231 Chief Justice Cushing Hwy
Ste 203
Cohasset, MA 02025
Phone (781) 214-8585

684 Falmouth Rd
Mashpee, MA 02649
Phone (508) 447-5670

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

340 Oak St
Pembroke, MA 02359
Phone (781) 829-3500

Organizations & group practices 3

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1629632567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 COMMERCE WAY STE 112",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034695",
            "telephone_number": "508-455-5740",
            "fax_number": "508-455-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Oak St",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "MA",
            "postal_code": "023591956",
            "country_code": "US",
            "telephone_number": "781-829-3500",
            "fax_number": "781-924-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDIKIS",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL26153",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.