Provider Demographics
NPI:1700845914
Name:D'ALESSANDRO, FRED (PT)
Entity type:Individual
Prefix:MR
First Name:FRED
Middle Name:
Last Name:D'ALESSANDRO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34990
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0627
Mailing Address - Country:US
Mailing Address - Phone:484-440-9349
Mailing Address - Fax:833-941-3871
Practice Address - Street 1:5201 PENNELL RD STE B
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-6502
Practice Address - Country:US
Practice Address - Phone:484-440-9349
Practice Address - Fax:833-941-3871
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT004003L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist