Individual provider Active NPI

Alexander Jovanni Garrido, PT, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1881021764
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP015867T Issued in IA
Practice address
800 E 1St St Ste 2000
Ankeny, IA 50021-2077
Phone
(515) 643-7555
Fax
(515) 643-7560
NPI assigned
Oct 9, 2013
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011205 GA
Physical Therapist 225100000X 12389 CO
Physical Therapist 225100000X CP015867T IA Primary

Addresses

Primary practice location

800 E 1St St Ste 2000
Ankeny, IA 50021-2077

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7555

Other practice location 1

70 South 20th Avenue
Suite 1
Brighton, CO 80601
Phone (303) 655-9005

Other practice location 2

600 Chastain Rd NW Ste 428
Kennesaw, GA 30144-3210
Phone (770) 425-6701

Other practice location 3

800 Peachtree St NE Ste E2
Atlanta, GA 30308-1245
Phone (404) 254-3319

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202001476 IA Practitioner - Physical Therapist in Private Practice 6406085281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

800 E 1St St
2000 Mercyone Ankenyt Physical Therapy Clin
Ankeny, IA 50021-2077
Phone (515) 643-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12389COMDPhysical Therapist
PT011205GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Mercy Clinics Inc Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients

Locations

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

3310 SW 9th St
Des Moines, IA 50315
Phone (515) 244-5005

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

Organizations & group practices 5

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": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1881021764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-7555",
            "fax_number": "515-643-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST STE 2000",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212077",
            "telephone_number": "515-643-7555",
            "fax_number": "515-643-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 South 20th Avenue",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "80601",
            "country_code": "US",
            "telephone_number": "303-655-9005",
            "fax_number": "303-655-0063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Chastain Rd NW Ste 428",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301443210",
            "country_code": "US",
            "telephone_number": "770-425-6701",
            "fax_number": "770-425-6703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Peachtree St NE Ste E2",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303081245",
            "country_code": "US",
            "telephone_number": "404-254-3319",
            "fax_number": "404-600-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "ALEXANDER",
        "middle_name": "JOVANNI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-09",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011205",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "12389",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "CP015867T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.