Individual provider Active NPI

Alex Demarco, DPT

  • Physical Therapist
  • Winchester, VA
National Provider Identifier
1760021760
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP007480T Issued in VA
Practice address
172 Linden Dr
Winchester, VA 22601-2846
Phone
(540) 722-8172
NPI assigned
Dec 23, 2019
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004357 WV
Physical Therapist 225100000X CP007480T VA Primary

Addresses

Primary practice location

172 Linden Dr
Winchester, VA 22601-2846

Mailing address

1868 Kearneysville Pike
Shepherdstown, WV 25443-4701

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ademarco@rankinpt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210423000909 WV Practitioner - Physical Therapist in Private Practice 0941618318 Reassigns benefits to 1 organization
I20211207000358 VA Practitioner - Physical Therapist in Private Practice 0941618318 Reassigns benefits to 1 organization
I20221215001939 NY Practitioner - Physical Therapist in Private Practice 0941618318 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

Practice addresses (Care Compare)

9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049599NYMDPediatric Dentist
PT004357WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 4, 2021 Accepting new patients
Rankin Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Rankin Physical Therapy LLC CurrentSince Feb 1, 2021 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Nov 1, 2022 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 4, 2021 Accepting new patients
Neurosport Physical Therapy & Rehabilitation Specialist Inc. Physical Therapist PastSince Dec 1, 2019 Accepting new patients
Kennestone Hospital, Inc PastSince Dec 1, 2019 Accepting new patients

Locations

3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

23 Fitness Ln
Berkeley Springs, WV 25411
Phone (304) 258-1300

8543 Winchester Ave
Inwood, WV 25428
Phone (304) 229-1010

7330 Martinsburg Pike
Shepherdstown, WV 25443
Phone (304) 876-1000

Organizations & group practices 8

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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1760021760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 KEARNEYSVILLE PIKE",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINDEN DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012846",
            "telephone_number": "540-722-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004357",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP007480T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ademarco@rankinpt.com",
            "affiliation": "N",
            "endpointDescription": "ademarco@rankinpt.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rankinpt.com",
            "address_1": "8543 Winchester Ave",
            "city": "Inwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254284022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.