Healthcare Provider Details

I. General information

NPI: 1477229698
Provider Name (Legal Business Name): ALEXANDER BARRERA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4338 W THOMAS RD
PHOENIX AZ
85031-3878
US

IV. Provider business mailing address

4338 W THOMAS RD
PHOENIX AZ
85031-3878
US

V. Phone/Fax

Practice location:
  • Phone: 602-607-1230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberLPT-31949
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: