Individual provider Active NPI

Alexander Lam, PT, DPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1710352166
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35926 Issued in FL
Practice address
1864 72ND Ave NE
Saint Petersburg, FL 33702-4714
Phone
(727) 318-2146
NPI assigned
Dec 10, 2015
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 PT35926 FL Primary

Addresses

Primary practice location

1864 72ND Ave NE
Saint Petersburg, FL 33702-4714

Mailing address

1864 72ND Ave NE
Saint Petersburg, FL 33702-4714
Phone (727) 318-2146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126001310 FL Practitioner - Physical Therapist in Private Practice 3072984269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DKB Health LLC Fyzical Therapy and Balance CenterGroup PAC ID 6709259351, 4 clinicians

Practice addresses (Care Compare)

Saint Petersburg, FL 33702
Phone (727) 318-2146

4020 Park St N
Suite 101
St Petersburg, FL 33709-4034
Phone (727) 388-4688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35926FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DKB Health LLC Fyzical Therapy and Balance Center Physical Therapist CurrentSince Jul 10, 2024 Accepting new patients
Nalin LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Coastal Kinetics LLC Physical Therapist CurrentSince Jul 3, 2025 Accepting new patients
Ekren Physical Therapy Services Inc Past Accepting new patients

Locations

5860 Ranch Lake Blvd
Ste 102
Bradenton, FL 34202
Phone (941) 212-1444

701 77th Ave N
Unit 55042
Saint Petersburg, FL 33702
Phone (727) 318-2146

9387 Seminole Blvd
Seminole, FL 33772
Phone (727) 319-9017

9555 Seminole Blvd
Ste 202
Seminole, FL 33772
Phone (727) 394-8161

4020 Park St N
Ste 101
St Petersburg, FL 33709
Phone (727) 388-4688

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1710352166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 72ND AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024714",
            "telephone_number": "727-318-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 72ND AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024714",
            "telephone_number": "727-318-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ALEXANDER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-10",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.