Individual provider Active NPI

Alexander B Trotsky, PT

  • Physical Therapist
  • Beverly, MA
National Provider Identifier
1841744588
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22415 Issued in MA
Practice address
100 Cummings Ctr Ste 121Q
Beverly, MA 01915-6129
Phone
(978) 927-0907
Fax
(978) 927-0537
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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 22415 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 121Q
Beverly, MA 01915-6129

Mailing address

54 Middlesex Tpke Ste 101L
Bedford, MA 01730-1417
Phone (781) 229-8011

Other practice location 1

54 Middlesex Tpke Ste 101L
Bedford, MA 01730-1417
Phone (781) 229-8011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919000420 MA Practitioner - Physical Therapist in Private Practice 9739476896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 121Q
Beverly, MA 01915-6129
Phone (978) 927-0907

101 Cambridge St
Burlington, MA 01803-3766
Phone (781) 229-8011

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
95.5
Improvement activities
40
Cost
75.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1841744588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MIDDLESEX TPKE STE 101L",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301417",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 121Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156129",
            "telephone_number": "978-927-0907",
            "fax_number": "978-927-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Middlesex Tpke Ste 101L",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017301417",
            "country_code": "US",
            "telephone_number": "781-229-8011",
            "fax_number": "781-229-8374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTSKY",
        "first_name": "ALEXANDER",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.