Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alex Lagrutta, PT

Individual provider Physical Therapist · NPI 1720807423

Alex Lagrutta, PT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2024, 2 years ago. Practices with Advanced Physical Therapy LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3399 Black Forest Dr Ste 3
Fayetteville, AR 72704-6541
Phone: (479) 435-6712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5492 (AR)

Record details

NPI number1720807423
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Advanced Physical Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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