Active NPI
Alexandra Jo Warden-Michl, PT, DPT
- Physical Therapist
- North Grafton, MA
National Provider Identifier
1831616846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23103
- Practice address
- 204 Worcester St
North Grafton, MA 01536 - Phone
- (508) 887-8888
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23103 | MA | Primary |
Addresses
Primary practice location
204 Worcester St
North Grafton, MA 01536
Mailing address
204 Worcester St
North Grafton, MA 01536-1595
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1831616846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 WORCESTER ST",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 WORCESTER ST",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "01536",
"telephone_number": "508-887-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDEN-MICHL",
"first_name": "ALEXANDRA",
"middle_name": "JO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Grafton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.