Provider Demographics
NPI:1811241557
Name:PIOTROWSKI, ALEXANDRA R (DPT)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:R
Last Name:PIOTROWSKI
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1458 TIPPERARY DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-6032
Mailing Address - Country:US
Mailing Address - Phone:321-795-9010
Mailing Address - Fax:
Practice Address - Street 1:2825 BUSINESS CENTER BLVD
Practice Address - Street 2:UNIT D8
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940
Practice Address - Country:US
Practice Address - Phone:321-795-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27892225100000X
MD24372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist