Individual provider Active NPI

Alexander Wann, DPT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1902359359
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33282 Issued in FL
Practice address
5717 Derek Ave
Sarasota, FL 34233-2413
Phone
(941) 735-1225
Fax
(941) 218-5627
NPI assigned
Aug 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 05012661A IN
Physical Therapist 225100000X 1281099 TX
Physical Therapist 225100000X PT33282 FL Primary

Addresses

Primary practice location

5717 Derek Ave
Sarasota, FL 34233-2413

Mailing address

1200 Corporate Dr
Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8923

Other practice location 1

9055 Katy Fwy
Suite 440
Houston, TX 77024-1624
Phone (713) 464-8357

Other practice location 2

625 SW Ramsey Ave
Grants Pass, OR 97527-5808
Phone (541) 479-6979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126001450 FL Practitioner - Physical Therapist in Private Practice 3577858513 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
Total Therapy Florida LLCGroup PAC ID 5395091722, 24 clinicians

Practice addresses (Care Compare)

14580 Tamiami TRL
North Port, FL 34287-2708
Phone (941) 200-2570

1499 E Venice Ave
Venice, FL 34292-3207
Phone (941) 451-8657

450 S Tamiami TRL
Osprey, FL 34229-9206
Phone (941) 918-9575

5717 Derek Ave
Sarasota, FL 34233-2413
Phone (941) 926-2909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33282FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Florida, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

3650 N Access Rd
Englewood, FL 34224
Phone (941) 460-3831

450 S Tamiami Trl
Osprey, FL 34229
Phone (941) 460-3831

5717 Derek Ave
Sarasota, FL 34233
Phone (941) 926-2909

1499 E Venice Ave
Unit A
Venice, FL 34292
Phone (941) 451-8657

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1902359359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR",
            "address_2": "STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8923",
            "fax_number": "423-954-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 DEREK AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332413",
            "telephone_number": "941-735-1225",
            "fax_number": "941-218-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 Katy Fwy",
            "address_2": "Suite 440",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241624",
            "country_code": "US",
            "telephone_number": "713-464-8357",
            "fax_number": "713-464-0564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275808",
            "country_code": "US",
            "telephone_number": "541-479-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012661A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1281099",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

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