Active NPI
Alexander Brusnahan, DPT
- Physical Therapist
- Tempe, AZ
National Provider Identifier
1659911931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31058
- Practice address
- 1952 E University Dr
Tempe, AZ 85281 - Phone
- (480) 821-1997
- Fax
- (480) 821-2536
- NPI assigned
- Jan 14, 2020
- Last updated
- Jan 14, 2020
- Sex
- Male
- 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 | LPT-31058 | AZ | Primary |
Addresses
Primary practice location
1952 E University Dr
Tempe, AZ 85281
Mailing address
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Phone (480) 821-1997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
Practice addresses (Care Compare)
1952 E University Dr
Tempe, AZ 85281-4603
Phone (480) 821-1997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| 360 Physical Therapy, LLC | Current | Accepting new patients | |
| 360 Physical Therapy, LLC | Current | Accepting new patients |
Locations
1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Scottsdale, AZ
- NPI 1932430949
-
- Specialist
- Fountain Hills, AZ
- NPI 1811153992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1659911931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 W CHANDLER BLVD STE 103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245223",
"telephone_number": "480-821-1997",
"fax_number": "480-821-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 E UNIVERSITY DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "480-821-1997",
"fax_number": "480-821-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSNAHAN",
"first_name": "ALEXANDER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.