Individual provider Active NPI

Alexander T Stiverson, DPT

  • Physical Therapist
  • Bensalem, PA
National Provider Identifier
1982134847
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026041 Issued in PA
Practice address
1338 Bristol Pike Ste 203
Bensalem, PA 19020-5679
Phone
(215) 633-9080
Fax
(215) 633-9950
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026041 PA Primary

Addresses

Primary practice location

1338 Bristol Pike Ste 203
Bensalem, PA 19020-5679

Mailing address

1338 Bristol Pike Ste 203
Bensalem, PA 19020-5679
Phone (215) 633-9080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720000067 PA Practitioner - Physical Therapist in Private Practice 8921378274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Physical Therapy Associates, LLC Physical Therapist CurrentSince Jun 14, 2017 Accepting new patients

Locations

1338 Bristol Pike
Ste 203
Bensalem, PA 19020
Phone (215) 633-9080

740 Edison Furlong Rd
Furlong, PA 18925
Phone (215) 794-2611

Organizations & group practices 1

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982134847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 BRISTOL PIKE STE 203",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205679",
            "telephone_number": "215-633-9080",
            "fax_number": "215-633-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 BRISTOL PIKE STE 203",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205679",
            "telephone_number": "215-633-9080",
            "fax_number": "215-633-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVERSON",
        "first_name": "ALEXANDER",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.