Individual provider Active NPI

Alexander Riccardi, DPT

  • Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1821507484
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026272 Issued in PA
Practice address
601 Righters Ferry Rd
Bala Cynwyd, PA 19004-1305
Phone
(610) 664-6464
NPI assigned
Sep 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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
Physical Therapist 225100000X PT026272 PA Primary

Addresses

Primary practice location

601 Righters Ferry Rd
Bala Cynwyd, PA 19004-1305

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

101 N Monroe St
Media, PA 19063-3037
Phone (484) 444-0135

Other practice location 2

708 Main St
Harleysville, PA 19438-1636
Phone (267) 938-9177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106000603 PA Practitioner - Physical Therapist in Private Practice 5597021766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1555 Wadsworth Ave
Philadelphia, PA 19150-1617
Phone (267) 323-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026272PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Feb 18, 2019 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Aug 28, 2021 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Sep 25, 2017 Accepting new patients
Aquahab, LP Physical Therapist PastSince Oct 31, 2021 Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

601 Righters Ferry Rd
#1
Bala Cynwyd, PA 19004

601 Righters Ferry Rd
Bala Cynwyd, PA 19004
Phone (610) 664-6464

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

708 Main St
Harleysville, PA 19438
Phone (267) 932-9177

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

101 N Monroe St
Media, PA 19063
Phone (484) 444-0135

1555 E Wadsworth Ave
Philadelphia, PA 19150
Phone (267) 323-2778

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1821507484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIGHTERS FERRY RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041305",
            "telephone_number": "610-664-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190633037",
            "country_code": "US",
            "telephone_number": "484-444-0135",
            "fax_number": "484-444-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 Main St",
            "address_purpose": "LOCATION",
            "city": "Harleysville",
            "state": "PA",
            "postal_code": "194381636",
            "country_code": "US",
            "telephone_number": "267-938-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCARDI",
        "first_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.