ALEXANDRA PONTAOE – Physical Therapist, NPI 1821702382

ALEXANDRA PONTAOE is a healthcare provider. based in Lutz, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT39629 (FL). The NPI Number for ALEXANDRA PONTAOE is 1821702382

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA PONTAOE
NPI
1821702382
Phone
Not provided
Address
21756 STATE ROAD 54 STE 102
Enumeration Date
10 January 2023
Last Update Date
10 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8134187350
Graduation Year
2022 (4 years ago)
PAC ID
8527431857
Group Practice PAC ID
0749317709
Professional Enrollment ID
I20230307000759
Address ID
FL336241853TA3903XBLVD304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ALEXANDRA PONTAOE

  • 21756 STATE ROAD 54 STE 102

    LUTZ, FL 335492905

    Phone:

    Type: Mailing

  • 3903 NORTHDALE BLVD STE 111W

    TAMPA, FL 336241853

    Phone: (813) 418-7350

    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: 2023-03-07

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
I20230307000759IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47874$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes38468$0
97140Therapy procedure using manual technique, each 15 minutes15343$0
97530Therapy procedure using functional activities15038$0
97162Evaluation for physical therapy, typically 30 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 33549)

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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: 0749317709View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does ALEXANDRA PONTAOE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALEXANDRA PONTAOE uses 1821702382.
Does the file indicate ALEXANDRA PONTAOE is practicing under active NPI?
Directory data currently reports ALEXANDRA PONTAOE as active.
What taxonomy line describes ALEXANDRA PONTAOE?
For research purposes, treat ALEXANDRA PONTAOE as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does ALEXANDRA PONTAOE list a practice location?
Patients near Lutz, Florida may find ALEXANDRA PONTAOE in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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