Individual provider Active NPI

Alexandra Jillian Asta, PT, DPT

  • Physical Therapist
  • Plantation, FL
National Provider Identifier
1841903424
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39712 Issued in FL
Practice address
10189 W Sunrise Blvd
Plantation, FL 33322-7617
Phone
(954) 577-9370
NPI assigned
Dec 28, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 PT39712 FL Primary

Addresses

Primary practice location

10189 W Sunrise Blvd
Plantation, FL 33322-7617

Mailing address

1121 SW 122ND Ave Apt 401
Miami, FL 33184-2803
Phone (732) 796-5993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230422000389 FL Practitioner - Physical Therapist in Private Practice 0042675266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylife Physical Therapy and Rehabilitation IncGroup PAC ID 9133170095, 17 clinicians

Practice addresses (Care Compare)

7654 N Nob Hill Rd
Tamarac, FL 33321-1869
Phone (954) 597-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action P a Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Baylife Physical Therapy & Rehabilitation Inc Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. Past Accepting new patients

Locations

1868 W Hillsboro Blvd
Ste D
Deerfield Beach, FL 33442
Phone (954) 480-2900

10201 Arcos Ave
Ste 204
Estero, FL 33928
Phone (724) 223-2061

10189 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 236-6770

8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800

7654 N Nob Hill Rd
Tamarac, FL 33321
Phone (954) 597-6666

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1841903424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 SW 122ND AVE APT 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842803",
            "telephone_number": "732-796-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10189 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333227617",
            "telephone_number": "954-577-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTA",
        "first_name": "ALEXANDRA",
        "middle_name": "JILLIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.