Active NPI
Alexander Randolph Daley, DPT
- Physical Therapist
- Suwanee, GA
National Provider Identifier
1962073817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012177
- Practice address
- 3681 Burnette Rd
Suwanee, GA 30024-2190 - Phone
- (470) 202-3929
- NPI assigned
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012177 | GA | Primary |
Addresses
Primary practice location
3681 Burnette Rd
Suwanee, GA 30024-2190
Mailing address
4560 Landover Way
Suwanee, GA 30024-3041
Phone (770) 500-0626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210714001940 | GA | Practitioner - Physical Therapist in Private Practice | 2163824004 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1962073817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 LANDOVER WAY",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300243041",
"telephone_number": "770-500-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3681 BURNETTE RD",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242190",
"telephone_number": "470-202-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY",
"first_name": "ALEXANDER",
"middle_name": "RANDOLPH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
- Curo Ventures (Lice Clinics of America - North Gwinnett)
- Norris Elliot Currence Jr., PSY.D
- Kenesha D Curtis, M.A. BCBA
- Cynthia Jones D.M.D. P.C. (Dentistry4kids)
- Cynthia Jones, D.M.D., P.C.
- Hardikkumar P Dalsania, DMD
- Tara Dambach
- Christina Daniel
- Katelyn Datsko
- David M. Richardson P.C. (Richardson Chiropractic & Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.