ANJELIA ALTEBRANDO (DPT) – Physical Therapist, NPI 1124858782

ANJELIA ALTEBRANDO (DPT) is a healthcare provider. based in Providence, Rhode Island. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT03859 (RI). The NPI Number for ANJELIA ALTEBRANDO (DPT) is 1124858782

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ANJELIA ALTEBRANDO (DPT)
NPI
1124858782
Phone
(401) 433-4172
Address
4 RICHMOND SQ STE 200
Enumeration Date
7 August 2024
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017267100
Graduation Year
2024 (2 years ago)
PAC ID
5092253518
Group Practice PAC ID
1658266515
Professional Enrollment ID
I20240815001730
Address ID
RI029205600CR1XXXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

605 PHYSICAL THERAPIST IN PRIVATE PRACTICE in RI

Provider Addresses for ANJELIA ALTEBRANDO (DPT)

  • 4 RICHMOND SQ STE 200

    PROVIDENCE, RI 029065117

    Phone: (401) 433-4172

    Fax: (401) 433-0612

    Type: Mailing

  • 1 NEW LONDON AVE UNIT 9

    CRANSTON, RI 029205600

    Phone: (401) 205-8200

    Fax: (401) 250-5724

    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: 2024-08-15

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
I20240815001730IPhysical Therapist In Private PracticeRITBD

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 02906)

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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: 1658266515View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNH
-RI
Physical Therapist In Private PracticeMA
-RI
-RI
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeMA
-RI
-RI

Reviews

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Frequently asked questions

How do I look up ANJELIA ALTEBRANDO (DPT) by NPI?
Use NPI 1124858782 when you need to reference ANJELIA ALTEBRANDO (DPT) in forms, claims, or directories.
Is ANJELIA ALTEBRANDO (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ANJELIA ALTEBRANDO (DPT) work in?
You can think of ANJELIA ALTEBRANDO (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place ANJELIA ALTEBRANDO (DPT)?
The snapshot lists Providence, Rhode Island for ANJELIA ALTEBRANDO (DPT); download NPPES for the complete set.
Is ANJELIA ALTEBRANDO (DPT) a real provider?
This page reflects official NPPES data for NPI 1124858782. Always confirm identity and privileges with the practice and licensing boards.

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