Individual provider Active NPI

Alex Lage

  • Specialist
  • Miami, FL
National Provider Identifier
1770663395
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT16296 Issued in FL
Practice address
11801 SW 90TH St
Suite 201
Miami, FL 33186-2182
Phone
(305) 595-5230
Fax
(305) 595-0157
NPI assigned
Oct 17, 2006
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT16296 FL Primary

Addresses

Primary practice location

11801 SW 90TH St
Suite 201
Miami, FL 33186-2182

Mailing address

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000543 FL Practitioner - Physical Therapist in Private Practice 9830262955 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

7800 SW 87TH Ave
Suite a 110
Miami, FL 33173-3570
Phone (305) 596-2828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16296FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC Specialist CurrentSince Oct 1, 2018 Accepting new patients
Pro Performance Physical Therapy LLC CurrentSince Dec 1, 2019 Accepting new patients
Twin Palms Chiropractic Health Center Inc CurrentSince Aug 1, 2022 Accepting new patients
USA Sports Medicine LLC CurrentSince May 10, 2022 Accepting new patients
Transformative Healthcare Solutions Inc CurrentSince Dec 1, 2019 Accepting new patients
USA Sports Medicine Broward CurrentSince Aug 1, 2022 Accepting new patients
VHW Medical Group LLC CurrentSince Oct 19, 2022 Accepting new patients
Ortho Florida, LLC CurrentSince Oct 1, 2018 Accepting new patients
Miami Family Care Inc Past Accepting new patients
Orthopedic Rehabilitation Specialists, Inc. PastSince Dec 20, 2004 Accepting new patients
Smith Physical Therapy Rehabilitation Corp Past Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

777 SE 20th St
Ste 200
Ft Lauderdale, FL 33316
Phone (954) 302-7717

848 Brickell Ave
Ste 210
Miami, FL 33131
Phone (305) 377-0017

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

404 Washington Ave
Ste 120
Miami Beach, FL 33139
Phone (305) 479-2973

9050 Pines Blvd
Ste 102
Pembroke Pines, FL 33024
Phone (954) 241-3692

Interoperability endpoints

  • Direct secure messaging: alex.lage.1@18747.direct.athenahealth.com

Organizations & group practices 11

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1770663395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SW 90TH ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862182",
            "telephone_number": "305-595-5230",
            "fax_number": "305-595-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGE",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT16296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.