Alexander Eberenz

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

049390 Issued in NY

Practice address

18 Prospect St
Huntington, NY 11743-3318

Phone

(631) 629-1261

NPI assigned

Oct 14, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Recovry Physical Therapy PLLCGroup PAC ID 6901223791, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Recovry Physical Therapy PLLC

  • Physical Medicine & Rehabilitation Physician
  • Huntington, NY
  • NPI 1063022531

  Sports

  Medicare reassignment Care Compare group NPD
• Recovry Physical Therapy PLLC

  • Physical Medicine & Rehabilitation Physician
  • Huntington, NY
  • NPI 1811869084
  NPD

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1174343305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PHIPPS LN",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031948",
            "telephone_number": "516-474-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PROSPECT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433318",
            "telephone_number": "631-629-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERENZ",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "049390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Dubler
• Melissa Duffy, NP
• Nyasia Dyer
• Dynamic Physical Therapy Assoc.PLLC (dba Dynamic Sports Physical Therapy & Rehabilitation)
• Matthew Eannaccone, DMD
• Christine A Ebrimian, M.A
• Miriam Eckstein-Koas
• George Economou
• Thomas Andreas Economou, PHARM D.
• Edge Medical Transportation

• Orthopedic Physical Therapist in Huntington, NY
• Providers in Huntington, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.