ALEXANDRA MANCUSO (PT) – Physical Therapist, NPI 1700567773

ALEXANDRA MANCUSO (PT) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT40439 (FL). The NPI Number for ALEXANDRA MANCUSO (PT) is 1700567773

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA MANCUSO (PT)
NPI
1700567773
Phone
(336) 420-9360
Address
505 W ALVA ST
Enumeration Date
31 July 2023
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139940151
Graduation Year
2022 (4 years ago)
PAC ID
9032572037
Group Practice PAC ID
3375943145
Professional Enrollment ID
I20230823003661
Address ID
FL336472759TA20433BLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ALEXANDRA MANCUSO (PT)

  • 505 W ALVA ST

    TAMPA, FL 336033409

    Phone: (336) 420-9360

    Type: Mailing

  • 4211 BOY SCOUT BLVD

    STE 450

    PALM HARBOR, FL 34683

    Phone: (813) 892-7884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230823003661IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375943145View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationNJ
Physical Therapist In Private PracticeFL
C H I R O P R A C T I CFL
Orthopedic SurgeryFL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL

Reviews

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Frequently asked questions

What identifier follows ALEXANDRA MANCUSO (PT) across health systems?
The NPI 1700567773 uniquely identifies ALEXANDRA MANCUSO (PT) in U.S. healthcare data.
Should I treat ALEXANDRA MANCUSO (PT) as an active provider?
Patients and plans typically see ALEXANDRA MANCUSO (PT) as active in the national extract.
Which specialty label fits ALEXANDRA MANCUSO (PT)?
NPPES ties ALEXANDRA MANCUSO (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALEXANDRA MANCUSO (PT)?
ALEXANDRA MANCUSO (PT) is associated with Tampa, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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