Alair Brock, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT030494 Issued in PA

Practice address

1501 Lower State Rd Ste 308
North Wales, PA 19454-1201

Phone

(215) 997-9898

Fax

(215) 997-9899

NPI assigned

Jul 19, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1639465644
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1972238483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD STE 308",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541201",
            "telephone_number": "215-997-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD STE 308",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541201",
            "telephone_number": "215-997-9898",
            "fax_number": "215-997-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ALAIR",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT030494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Francis Bonagura, M.D.
• Jacqueline N Borges, PT, DPT
• Felicia Bortsoo Borketey, PMHNP
• Carol Joy Breen Valverde, LPC
• Stephanie Brigidi, M.P.T.
• Deborah Buck, CRNP
• Madison Haley Buck, DNP. DOCTOR OF NURSI
• Bucks Mont Dental, LLC
• Jacqueline Burke, PSYD
• Shawna Burkholder, RPH

• Orthopedic Physical Therapist in North Wales, PA
• Providers in North Wales, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.