Alexander David Litaker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16300 Issued in NC

Practice address

445 S Kings Dr Ste 100
Charlotte, NC 28204

Phone

(704) 384-1737

Fax

(704) 384-1739

NPI assigned

Jun 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1750730255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S KINGS DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-384-1737",
            "fax_number": "704-384-1739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Oakdale Street",
            "address_2": "Perfect Balance Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "28712",
            "country_code": "US",
            "telephone_number": "828-966-9036",
            "fax_number": "828-966-4538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITAKER",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "16300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alitaker528203@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "59 Oakdale Street",
            "address_2": "Perfect Balance Physical Therapy",
            "city": "Brevard",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Dawn Lister, M.ED., QP
• Steven Paul Lister, PA
• Laura Marie Liston, FNP
• Todd M Listwa, M.D.
• Rebecca R Lisy, OT
• Kristen Diane Litchfield, LPC
• David Williams Litchford Jr., MD
• Michael Christopher Litherland, PA-C
• David Allan Litman, LCSW
• Little Achievers ABA NC LLC

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.