Individual provider Active NPI

Mario Alexander, PT, DPT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1639902836
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30110 Issued in MD
Practice address
4000 Mitchellville Rd Ste B222
Bowie, MD 20716-3148
Phone
(301) 464-3775
Fax
(301) 500-2175
NPI assigned
Aug 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 30110 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste B222
Bowie, MD 20716-3148

Mailing address

PO Box 356
Burtonsville, MD 20866-0356
Phone (301) 421-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240906002075 DC Practitioner - Physical Therapist in Private Practice 5890235741 Reassigns benefits to 3 organizations
I20250430003673 MD Practitioner - Physical Therapist in Private Practice 5890235741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians
Forever Fit Physical Therapy and Wellness LLCGroup PAC ID 1153513122, 40 clinicians
Made to Move LLCGroup PAC ID 5597088161, 8 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650

3901 National Dr
Suite 100
Burtonsville, MD 20866-1176
Phone (301) 421-1125

4000 Mitchellville Rd
Suite B222
Bowie, MD 20716-3148
Phone (301) 464-3775

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30110MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 11, 2025 Accepting new patients
Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Forever Fit Physical Therapy & Wellness, LLC Current Accepting new patients
Made to Move LLC Dba Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients

Locations

4000 Mitchellville Rd
Ste B222
Bowie, MD 20716
Phone (301) 421-1125

3901 National Dr
Ste 100
Burtonsville, MD 20866
Phone (301) 232-3684

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300

Organizations & group practices 7

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1639902836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208660356",
            "telephone_number": "301-421-1125",
            "fax_number": "301-500-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE B222",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163148",
            "telephone_number": "301-464-3775",
            "fax_number": "301-500-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "MARIO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.