Individual provider Active NPI

Alexis Hingle, DPT

  • Physical Medicine & Rehabilitation Physician
  • Palm Harbor, FL
National Provider Identifier
1720558133
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT34195 Issued in FL
Practice address
35095 US Highway 19 N Ste 101
Palm Harbor, FL 34684-1968
Phone
(727) 475-5538
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT34195 FL Primary

Addresses

Primary practice location

35095 US Highway 19 N Ste 101
Palm Harbor, FL 34684-1968

Mailing address

3903 Northdale Blvd Ste 111W
Tampa, FL 33624-1853

Other identifiers 1

IdentifierTypeStateIssuer
PT34195OtherFLPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181227000580 FL Practitioner - Physical Therapist in Private Practice 5193060820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Performance and Physical Therapies Hyde Park LLCGroup PAC ID 9931224367, 11 clinicians

Practice addresses (Care Compare)

1501 W Cleveland St
Suite 220
Tampa, FL 33606-1812
Phone (813) 805-8105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies Hyde Park LLC CurrentSince Jan 16, 2023 Accepting new patients

Locations

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

1501 W Cleveland St
Ste 220
Tampa, FL 33606
Phone (813) 805-8105

3903 Northdale Blvd
Ste 111W
Tampa, FL 33624
Phone (813) 381-6778

Organizations & group practices 1

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1720558133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD STE 111W",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35095 US HIGHWAY 19 N STE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841968",
            "telephone_number": "727-475-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINGLE",
        "first_name": "ALEXIS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT34195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT34195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

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