MEDICARE: ALEXANDER NATHAN BONGERS DPT

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	16792-24	WI
2	225100000X	Physical Therapist	306179	CA

General Provider Information

NPI Number	:	1790526424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER NATHAN BONGERS DPT

Provider Business Mailing Address
First Line	:	12447 150TH ST E
Second Line	:
City	:	NERSTRAND
State	:	MN
Zip	:	55053-2233
Country	:	US
Telephone Number	:	507-649-7832
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 FENTON ST STE 106
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94550-4159
Country	:	US
Telephone Number	:	925-373-9394
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	08/28/2024

Similar Medicare Providers

1073513156 — TSUNG PETER WONG MD
Practice Location Address:

87 FENTON ST STE 210
LIVERMORE, CA
94550-4159

Practice Phone: 925-371-8885
Practice Fax: 925-371-8884

1861587198 — PHYSIOTHERAPY ASSOCIATES INC
Practice Location Address:

87 FENTON ST , SUITE 106
LIVERMORE, CA
94550-4159

Practice Phone: 925-373-9394
Practice Fax: 925-373-2876

1801047931 — TRI-VALLEY MEDICAL ASSOCIATES, INC.
Practice Location Address:

87 FENTON ST STE 210
LIVERMORE, CA
94550-4159

Practice Phone: 925-371-8885
Practice Fax: 925-371-8884

1851800056 — MRS. DELISA SIMON RN, BSN, MSN, NP-C
Practice Location Address:

87 FENTON ST STE 210
LIVERMORE, CA
94550-4159

Practice Phone: 925-371-8885
Practice Fax: 925-371-8884

1427710094 — SELECT CAL PHYSICAL THERAPY PC
Practice Location Address:

87 FENTON ST STE 106
LIVERMORE, CA
94550-4159

Practice Phone: 925-373-9394
Practice Fax: 925-373-2876

1306541719 — ELISE JAFFREZO PTLA
Practice Location Address:

87 FENTON ST STE 106
LIVERMORE, CA
94550-4159

Practice Phone: 925-373-9394
Practice Fax:

Directions to “ ALEXANDER NATHAN BONGERS DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.