Individual provider Active NPI

Alexandra Pfefferle Wilson, DPT, PT, OCS, ATC

  • Orthopedic Physical Therapist
  • Metairie, LA
National Provider Identifier
1932616406
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12115R Issued in LA
Practice address
2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone
(504) 841-0150
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X 300084 CA
Orthopedic Physical Therapist 2251X0800X PT38183 FL
Athletic Trainer 2255A2300X 306003 LA
Orthopedic Physical Therapist 2251X0800X 12115R LA Primary

Addresses

Primary practice location

2620 Metairie Lawn Dr
Metairie, LA 70002-6107

Mailing address

2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone (850) 881-3913

Other practice location 1

10740 Nall Ave Ste 215
Overland Park, KS 66211
Phone (913) 381-2233

Other practice location 2

10740 Nall Ave Ste 215
Overland Park, KS 66211
Phone (913) 381-2233

Other practice location 3

2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 939-8585

Other practice location 4

130 Letourneau Circle
Hurlburt Field, FL 90311
Phone (850) 881-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625000487 LA Practitioner - Physical Therapist in Private Practice 3274862321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baudry Therapy CenterGroup PAC ID 8729158365, 7 clinicians

Practice addresses (Care Compare)

2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone (504) 841-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38183FLMDOrthopedic Physical Therapist
12115RLAMDOrthopedic Physical Therapist
306003LAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Baudry Therapy Center Orthopedic CurrentSince Jul 7, 2025 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

7335 Jefferson Hwy
#400A
Harahan, LA 70123
Phone (504) 841-0150

2620 Metairie Lawn Dr
Metairie, LA 70002
Phone (504) 293-2454

Organizations & group practices 2

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1932616406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "850-881-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 Nall Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66211",
            "country_code": "US",
            "telephone_number": "913-381-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10740 Nall Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66211",
            "country_code": "US",
            "telephone_number": "913-381-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2625 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982512",
            "country_code": "US",
            "telephone_number": "925-939-8585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Letourneau Circle",
            "address_purpose": "LOCATION",
            "city": "Hurlburt Field",
            "state": "FL",
            "postal_code": "90311",
            "country_code": "US",
            "telephone_number": "850-881-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEXANDRA",
        "middle_name": "PFEFFERLE",
        "credential": "DPT,  PT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300084",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT38183",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "306003",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "12115R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.