Individual provider Active NPI

Alexandra Misko, PT

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1790801157
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
715555 Issued in CO
Practice address
1025 S Perry St Ste 101
Castle Rock, CO 80104
Phone
(303) 688-5885
Fax
(303) 688-5903
NPI assigned
Mar 21, 2007
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 715555 CO Primary

Addresses

Primary practice location

1025 S Perry St Ste 101
Castle Rock, CO 80104

Mailing address

1025 S Perry St Ste 101
Castle Rock, CO 80104-3365
Phone (303) 688-5885

Other practice location 1

10345 E Iliff Ave
Aurora, CO 80247-3622
Phone (615) 778-4066

Other names 1

  • Alexandra Irving Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
715555COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1790801157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S PERRY ST STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043365",
            "telephone_number": "303-688-5885",
            "fax_number": "303-688-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S PERRY ST STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-688-5885",
            "fax_number": "303-688-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10345 E Iliff Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "802473622",
            "country_code": "US",
            "telephone_number": "615-778-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISKO",
        "first_name": "ALEXANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "715555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "IRVING",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.