Alexandra Pires
Individual provider Active NPI Physical Therapy Assistant · Moodus, CT
NPI 1700569365 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1700569365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001953 (CT)
- Practice address
- 534 Town St
Moodus, CT 06469-1101 - Phone
- (860) 873-1455
- Fax
- (860) 873-2307
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001953 | CT | MD | Nutritionist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001953 | CT | Yes |
Addresses
Primary practice location
534 Town St
Moodus, CT 06469-1101
Mailing address
534 Town St
Moodus, CT 06469-1101
Phone (860) 873-1455
Other providers in Moodus, CT
- Nutmeg Pharmacy Moodus LLC
- Nutmeg Pharmacy Moodus LLC
- Steven M Pear
- Peoplesdental, P.C.
- Christopher Petersen
- Lisa Beth Rogers
- Mary Alice Rossini
- Seaside Psychological
- Jessica Soucy
- April Sozanski
All providers in Moodus, CT · Physical Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.