MEDICARE: ALEXANDER CASEY ALBRIGHT

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	018919	OH

General Provider Information

NPI Number	:	1992303796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER CASEY ALBRIGHT

Provider Business Mailing Address
First Line	:	550 S CANFIELD NILES RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44515-4024
Country	:	US
Telephone Number	:	330-799-4446
Fax Number	:

Provider Business Practice Location Address
First Line	:	5052 WATERFORD DR
Second Line	:
City	:	SHEFFIELD VILLAGE
State	:	OH
Zip	:	44035-1497
Country	:	US
Telephone Number	:	440-934-9950
Fax Number	:

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

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	10/14/2020

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