MEDICARE: ALEXANDER PIERRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-034372	AZ

General Provider Information

NPI Number	:	1275404006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER PIERRE

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	726-202-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E CAMELBACK RD STE 120
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1061
Country	:	US
Telephone Number	:	602-975-2999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/17/2025

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Directions to “ ALEXANDER PIERRE ” Practice Location

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