MRS. ALEXANDRIA MCSWEENEY DPT NPI 1003016122
Physical Therapist in East Brunswick, NJ

About MRS. ALEXANDRIA MCSWEENEY DPT

Alexandria Mcsweeney is a provider established in East Brunswick, New Jersey and her medical specialization is Physical Therapist with more than 17 years of experience. The NPI number of this provider is 1003016122 and was assigned on July 2007. The practitioner's primary taxonomy code is 225100000X with license number 40QA00917700 (NJ). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1003016122
Provider NameMRS. ALEXANDRIA MCSWEENEY DPT
Location Address15 KOSSMAN ST EAST BRUNSWICK, NJ 08816
Location Phone(732) 698-1468
Mailing Address15 KOSSMAN ST EAST BRUNSWICK, NJ 08816
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date07-18-2007
Last Update Date07-18-2007

Alexandria Mcsweeney is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $20.64 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.40QA00917700
License StateNJ
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

15 KOSSMAN ST
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 698-1468

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Mailing Address

15 KOSSMAN ST
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 698-1468


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID7113084047
PECOS Enrollment IDI20090320000372
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 08816 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.45 $198.48 $101.4
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $25.35
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.27 $162.58 $82.58
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $20.64

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1862Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • 943Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • 852Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 272Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • 28Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003016122
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 1 + 4 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003016122 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Mrs. Alexandria Mcsweeney DPT NPI number?

The NPI number assigned to this healthcare provider is 1003016122, registered as an "individual" on July 18, 2007

Where is Mrs. Alexandria Mcsweeney DPT located?

The provider is located at 15 Kossman St East Brunswick, Nj 08816 and the phone number is (732) 698-1468

Which is Mrs. Alexandria Mcsweeney DPT specialty?

The provider's speciality is Physical Therapist

How many years of experience does Mrs. Alexandria Mcsweeney DPT have?

The provider has more than 17 years of experience.

How much is a visit to Mrs. Alexandria Mcsweeney DPT?

Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $82.58 and an average copayment of 20.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Mrs. Alexandria Mcsweeney DPT?

The most common procedures or services performed by this practitioner are: Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes, Manual (physical) therapy techniques to 1 or more regions, each 15 minutes, Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes and Evaluation of physical therapy, typically 30 minutes.

How do I update my NPI information?

The NPI record of Mrs. Alexandria Mcsweeney DPT was last updated on July 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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