Individual provider Active NPI

Alexandra Durocher

  • Physical Therapist
  • West Wareham, MA
National Provider Identifier
1730736703
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24548 Issued in MA
Practice address
2360 Cranberry Hwy
West Wareham, MA 02576-1208
Phone
(774) 678-4041
NPI assigned
Aug 23, 2019
Last updated
Apr 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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 24548 MA Primary

Addresses

Primary practice location

2360 Cranberry Hwy
West Wareham, MA 02576-1208

Mailing address

PO Box 284
West Wareham, MA 02576-0284
Phone (774) 678-4041

Other practice location 1

31 W Grove St
Middleboro, MA 02346-1859
Phone (508) 947-5195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190827000534 MA Practitioner - Physical Therapist in Private Practice 8426386624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Physical Therapy IncGroup PAC ID 0648449165, 3 clinicians

Practice addresses (Care Compare)

2360 Cranberry Hwy
W Wareham, MA 02576-1208
Phone (508) 273-0190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24548MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Physical Therapy Inc Physical Therapist CurrentSince May 7, 2024 Accepting new patients
A Plus Chiropractic Management Inc CurrentSince Apr 28, 2024 Accepting new patients

Locations

2360 Cranberry Hwy
West Wareham, MA 02576
Phone (508) 273-0190

Organizations & group practices 2

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1730736703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025760284",
            "telephone_number": "774-678-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 CRANBERRY HWY",
            "city": "WEST WAREHAM",
            "state": "MA",
            "postal_code": "025761208",
            "telephone_number": "774-678-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 W Grove St",
            "address_purpose": "LOCATION",
            "city": "Middleboro",
            "state": "MA",
            "postal_code": "023461859",
            "country_code": "US",
            "telephone_number": "508-947-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.