Alexander Bartis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14601 Issued in CT

Practice address

21C Liberty Dr
Hebron, CT 06248-1589

Phone

(860) 228-4883

Fax

(860) 228-0612

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Performance Physical Therapy & Sports Medicine, Inc

  • Hand Occupational Therapist
  • Colchester, CT
  • NPI 1225105448

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1679305106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064150267",
            "telephone_number": "860-537-3014",
            "fax_number": "860-537-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21C LIBERTY DR",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481589",
            "telephone_number": "860-228-4883",
            "fax_number": "860-228-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Norwich Ave",
            "address_purpose": "LOCATION",
            "city": "Colchester",
            "state": "CT",
            "postal_code": "064151274",
            "country_code": "US",
            "telephone_number": "860-537-3014",
            "fax_number": "860-537-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTIS",
        "first_name": "ALEXANDER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan C. Aldridge, LMFT
• Americare Medical Supply L.L.C.
• Andover, Hebron, Marlborough Youth & Family Services, Inc.
• Kelly Rogers Ayen
• Joseph J Barone, RPH
• Susan Robin Bass, LPC
• Aaliyah Jordan Black, PA-C
• Borys Averbukh DMD PLLC
• Katelyn Boutwell
• John Joseph Brier, R. PH.

• Physical Therapist in Hebron, CT
• Providers in Hebron, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.