Individual provider Active NPI

Alex Viles Joseph, DPT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1831364918
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10693-024 Issued in WI
Practice address
10425 W North Ave Ste 324
Wauwatosa, WI 53226-2400
Phone
(414) 502-8686
Fax
(414) 435-0253
NPI assigned
Apr 29, 2008
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 10693-024 WI Primary

Addresses

Primary practice location

10425 W North Ave Ste 324
Wauwatosa, WI 53226-2400

Mailing address

10425 W North Ave Ste 324
Wauwatosa, WI 53226-2400
Phone (414) 502-8686

Other identifiers 1

IdentifierTypeStateIssuer
36123200MedicaidWI

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
10693-024WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1831364918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 324",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-502-8686",
            "fax_number": "414-435-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 324",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-502-8686",
            "fax_number": "414-435-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ALEX",
        "middle_name": "VILES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10693-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36123200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.