Provider Demographics
NPI:1184509168
Name:HISLOP, ALEXANDER GRANT (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:GRANT
Last Name:HISLOP
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2963 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-9418
Mailing Address - Country:US
Mailing Address - Phone:716-245-6326
Mailing Address - Fax:
Practice Address - Street 1:2963 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9418
Practice Address - Country:US
Practice Address - Phone:716-245-6326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist