Healthcare Provider Details

I. General information

NPI: 1649167867
Provider Name (Legal Business Name): ALEXANDRA CARTER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 STATE ROUTE 31 S
WASHINGTON NJ
07882-4069
US

IV. Provider business mailing address

661 THRUWAY DR
BRIDGEWATER NJ
08807-1665
US

V. Phone/Fax

Practice location:
  • Phone: 908-847-3200
  • Fax:
Mailing address:
  • Phone: 908-809-3630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02344600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: