Individual provider Active NPI

Fred D'Alessandro, PT

  • Physical Therapist
  • Media, PA
National Provider Identifier
1700845914
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004003L Issued in PA
Practice address
5201 Pennell Rd Ste B
Media, PA 19063-6502
Phone
(484) 440-9349
Fax
(833) 941-3871
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 PT004003L PA Primary

Addresses

Primary practice location

5201 Pennell Rd Ste B
Media, PA 19063-6502

Mailing address

PO Box 34990
Belfast, ME 04915-0627
Phone (484) 440-9349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528000171 PA Practitioner - Physical Therapist in Private Practice 7618496209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

5201 Pennell Rd
Suite C
Media, PA 19063-6502
Phone (610) 876-0347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004003LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince May 21, 2025 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince May 21, 2025 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

5201 Pennell Rd
Ste B
Media, PA 19063
Phone (484) 440-9349

5201 Pennell Rd
Ste C
Media, PA 19063

1161 McDermott Dr
Ste 250
West Chester, PA 19380
Phone (484) 356-9401

Interoperability endpoints

  • Direct secure messaging: fred.d.alessandro.1@22724.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1700845914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34990",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150627",
            "telephone_number": "484-440-9349",
            "fax_number": "833-941-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 PENNELL RD STE B",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636502",
            "telephone_number": "484-440-9349",
            "fax_number": "833-941-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALESSANDRO",
        "first_name": "FRED",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT004003L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.