Individual provider Active NPI

Alexandra Corinaldesi, DPT

  • Physical Therapist
  • Port Washington, NY
National Provider Identifier
1083498604
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051071 Issued in NY
Practice address
55 Crescent Rd
Port Washington, NY 11050-3328
Phone
(516) 767-6304
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051071 NY Primary

Addresses

Primary practice location

55 Crescent Rd
Port Washington, NY 11050-3328

Mailing address

55 Crescent Rd
Port Washington, NY 11050-3328

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908001517 NY Practitioner - Physical Therapist in Private Practice 7517321581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Recovry Physical Therapy PLLCGroup PAC ID 6901223791, 11 clinicians

Practice addresses (Care Compare)

18 Prospect St
Huntington, NY 11743-3318
Phone (631) 629-1261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051071NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activecare Physical Therapy P C Physical Therapist CurrentSince Aug 24, 2023 Accepting new patients
Recovry Physical Therapy PLLC CurrentSince Sep 21, 2025 Accepting new patients
Recovry Physical Therapy PLLC Physical Therapist CurrentSince Dec 4, 2024 Accepting new patients

Locations

18 Prospect St
Huntington, NY 11743
Phone (631) 629-1261

29 W 38th St
Rm 601
New York, NY 10018
Phone (212) 777-4374

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1083498604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CRESCENT RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CRESCENT RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503328",
            "telephone_number": "516-767-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORINALDESI",
        "first_name": "ALEXANDRA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.