Alexander Charles Drake, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13637-24 Issued in WI

Practice address

1300 S Green Bay Rd
Suite #205
Racine, WI 53406-4469

Phone

(262) 898-3930

Fax

(262) 898-3933

NPI assigned

Oct 19, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thera-Dynamics SCGroup PAC ID 8820010317, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thera-Dynamics, S.C.

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1851366983

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Milwaukee Pain Treatment Services SC

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1396830501
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1750832275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SHEPHERD CT",
            "address_2": "APARTMENT# 206",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865380",
            "telephone_number": "908-642-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREEN BAY RD",
            "address_2": "SUITE #205",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064469",
            "telephone_number": "262-898-3930",
            "fax_number": "262-898-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "ALEXANDER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13637-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa S. Dolgin, MSE, NCC, LPC
• Donald M. Jacobson, MD SC
• Monica Doyle
• Dr. Marguerite Richardson, OD, LLC
• Ashley Drab
• Darrin Alan Dreger, PTA
• Steven E Drenning
• DRS Decheck and Mataczynski MD SC
• Olivia Jean Drwiega, OTD, OTR/L
• Walter Matthew Drymalski, SAC-IT

• Physical Therapist in Racine, WI
• Providers in Racine, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.