AVERY NICOLE ALEXANDER DPT
NPI 1043942097
Physical Therapist in Salt Lake City, UT

Active since June 28, 2022
92.06/100
CMS Quality Rating
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(833) 577-3422 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 20, 2022, Aug 24, 2022 (2 updates tracked since 2022).

About Avery Nicole Alexander Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY NICOLE ALEXANDER DPT (NPI 1043942097) is an individual physical therapist in Salt Lake City, Utah, licensed in Utah (12844006-2401) and active in the NPI registry since June 2022. She maintains a secondary practice location in Park City.

NPPES Registry Identity

NPI1043942097
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameAVERY NICOLE ALEXANDERCredential: DPT
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Sole ProprietorNo
Enumeration DateJune 28, 2022
Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1043942097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in UT · 12844006-2401
Definition
Physical 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.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 12844006-2401 (UT)
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

Secondary Practice Location 1

Location 11850 Sidewinder DrPark City, UT 84060-7471 · Phone (435) 645-9095

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Nicole Alexander Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Avery Alexander reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
30 N 1900 E, 3C 444
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
Rehabilitation
324 E 10TH AVE STE 100
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 493 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Alexander's NPI number?

The NPI number for Avery Alexander is 1043942097. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Avery Alexander located?

Avery Alexander practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (833) 577-3422.

What is Avery Alexander's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Avery Alexander enrolled in Medicare?

Yes. Avery Alexander is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Avery Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avery Alexander reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and Ihc Health Services Inc (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Avery Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avery Alexander accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Avery Alexander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avery Alexander was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.