Alexander Pedus
Individual provider Active NPI Physical Therapist · Hope Valley, RI
NPI 1801771985 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1801771985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT04027 (RI)
- Practice address
- 823 Main St
Hope Valley, RI 02832-1920 - Phone
- (401) 387-9630
- NPI assigned
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Specialized Orthopedic Physical Therapy Inc
Practice addresses (Care Compare)
823 Main St
Hope Valley, RI 02832-1920
Phone (401) 387-9630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250912002540 | RI | Practitioner - Physical Therapist in Private Practice | 7719480912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT04027 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Orthopedic Physical Therapy, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
823 Main St
Hope Valley, RI 02832
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT04027 | RI | Yes |
Addresses
Primary practice location
823 Main St
Hope Valley, RI 02832-1920
Mailing address
33 Bramble LN
West Warwick, RI 02893-5505
Phone (401) 595-0467
Other providers in Hope Valley, RI
- Lisa M Menard-Manlove
- Chantelle Montminy-Semple
- Alexa Oakley
- Samuel Ocel
- Peacefield Living, LLC
- Perspectives Corporation
- Perspectives Corporation
- Peter Gray
- Terence Michael Pinkston
- Auren Pope
All providers in Hope Valley, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.