Individual provider Active NPI

Cherrin M Alexis, P.T

  • Physical Therapist
  • Bergenfield, NJ
National Provider Identifier
1073767141
Registry record updated Nov 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016947-1 Issued in NY
Practice address
293 Huber PL
Bergenfield, NJ 07621-2549
Phone
(201) 334-2483
Fax
(201) 334-2483
NPI assigned
Nov 15, 2008
Last updated
Nov 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 016947-1 NY Primary
Physical Therapist 225100000X 40QA01296300 NJ

Addresses

Primary practice location

293 Huber PL
Bergenfield, NJ 07621-2549

Mailing address

293 Huber PL
Bergenfield, NJ 07621-2549
Phone (201) 334-2483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107000486 NY Practitioner - Physical Therapist in Private Practice 2769760131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01296300NJMDPhysical Therapist
016947-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates, Inc. CurrentSince Jun 1, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226707200000",
    "number": "1073767141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 HUBER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212549",
            "telephone_number": "201-334-2483",
            "fax_number": "201-334-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 HUBER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212549",
            "telephone_number": "201-334-2483",
            "fax_number": "201-334-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "CHERRIN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-15",
        "last_updated": "2008-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016947-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01296300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.