Organization Active NPI

Meyerholz Physical Therapy PLLC

Doing business as Momentum Physical Therapy

  • Physical Therapist
  • Northport, NY
National Provider Identifier
1255140711
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MEYERHOLZ PHYSICAL THERAPY PLLC
Doing business as
Momentum Physical Therapy
Practice address
220 Church St
Northport, NY 11768-3083
Phone
(516) 242-5799
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Dr. Alex Meyerholz, PT, DPTNPI 1972058246
Title
Owner, Physical Therapist
Phone
(516) 242-5799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

220 Church St
Northport, NY 11768-3083

Mailing address

68 Eatons Neck Rd
Northport, NY 11768-1105

Other practice location 1

68 Eatons Neck Rd
Northport, NY 11768-1105
Phone (516) 242-5799

Other names 1

  • Momentum Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251226000250 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153817358 Receives reassigned benefits from 1 practitioner
Practice locations: Northport, NY

National Provider Directory

National Provider Directory

Locations

220 Church St
Northport, NY 11768
Phone (516) 242-5799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1255140711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 EATONS NECK RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHURCH ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683083",
            "telephone_number": "516-242-5799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Eatons Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "NY",
            "postal_code": "117681105",
            "country_code": "US",
            "telephone_number": "516-242-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEYERHOLZ PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "MEYERHOLZ",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-242-5799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.