Alexander Brooks
Individual provider Active NPI Physical Therapy Assistant · Salem, WI
NPI 1902524366 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1902524366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3086-19 (WI)
- Practice address
- 7137 236TH Ave Ste 101
Salem, WI 53168-8975 - Phone
- (262) 925-5020
- NPI assigned
- Aug 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3086-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3086-19 | WI | Yes |
Addresses
Primary practice location
7137 236TH Ave Ste 101
Salem, WI 53168-8975
Mailing address
2129 W Raleigh CT
Mequon, WI 53092-5416
Other providers in Salem, WI
- Aurora Medical Group, Inc.
- Brigg W Barsness
- Eliza Watkins Barter
- Cody Ray Bollendorf
- Brandy Brey
- Gary Bruchman
- Kenneth Buettner
- James M Bury
- Peter Alfred John Capelli
- Joel Carroll
All providers in Salem, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.