Individual provider Active NPI

Alexandra Lea Scallions, DPT

  • Physical Therapist
  • Fort Smith, AR
National Provider Identifier
1992481691
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5223 Issued in AR
Practice address
4900 Rogers Ave # F
Fort Smith, AR 72903-2006
Phone
(479) 719-9392
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 5223 AR Primary

Addresses

Primary practice location

4900 Rogers Ave # F
Fort Smith, AR 72903-2006

Mailing address

9701 Muirfield Cir
Fort Smith, AR 72908-0716

Other names 1

  • Alexandra Lea Easley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018001250 AR Practitioner - Physical Therapist in Private Practice 3779938295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4900 Rogers Ave
Suite 100F
Fort Smith, AR 72903-2068
Phone (479) 242-9771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5223ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mobility Joint LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

4900 Rogers Ave
Ste 100F
Fort Smith, AR 72903
Phone (479) 242-9771

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1992481691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 MUIRFIELD CIR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729080716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 ROGERS AVE # F",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032006",
            "telephone_number": "479-719-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLIONS",
        "first_name": "ALEXANDRA",
        "middle_name": "LEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "EASLEY",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.