Individual provider Active NPI

Alexander James Hoffman, PTA

  • Physical Therapy Assistant
  • Merritt Island, FL
National Provider Identifier
1972225720
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA32116 Issued in FL
Practice address
1395 N Courtenay Pkwy Ste 102
Merritt Island, FL 32953-4474
Phone
(321) 986-8812
Fax
(321) 986-8814
NPI assigned
Sep 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA32116 FL Primary

Addresses

Primary practice location

1395 N Courtenay Pkwy Ste 102
Merritt Island, FL 32953-4474

Mailing address

1395 N Courtenay Pkwy Ste 102
Merritt Island, FL 32953-4474
Phone (321) 986-8812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA32116FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A&M Therapy, Inc CurrentSince Sep 20, 2022 Accepting new patients
A&M Therapy, Inc PastSince Sep 20, 2022 Accepting new patients

Locations

1395 N Courtenay Pkwy
Ste 102
Merritt Island, FL 32953
Phone (321) 986-8812

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1972225720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 102",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534474",
            "telephone_number": "321-986-8812",
            "fax_number": "321-986-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 102",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534474",
            "telephone_number": "321-986-8812",
            "fax_number": "321-986-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA32116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.