Alexandra Maria Scozzafava, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1307513 Issued in TX

Practice address

650 Huebner Rd
Fort Riley, KS 66442-4030

Phone

(785) 239-7964

NPI assigned

Nov 20, 2018

Sex

Female

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

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hana Pono Wellness Center LLCGroup PAC ID 2365864337, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hana Pono Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Kailua, HI
  • NPI 1225659857

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1700355625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 HADDON CT",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038881",
            "telephone_number": "808-393-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOZZAFAVA",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1307513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie C. Schmidt, DDS
• Lareine Schock, RD
• Brandi L. Schoenthaler, DMD
• Shayla D Schwartz, RDH
• Tiyanna Scott
• Mohammad Asif Sediqee
• Jody Lynn Sellers, PHARMD
• Daniel Cole Sessions, MD
• Randall Burks Sexton, RN, ARNP
• Elizabeth Shannon, PA-C

• Physical Therapist in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.