Individual provider Active NPI

Alexander Lileika

  • Physical Therapist
  • New Rochelle, NY
National Provider Identifier
1316935141
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017265-1 Issued in NY
Practice address
1 Radisson PLZ
9TH Floor
New Rochelle, NY 10801-5766
Phone
(914) 632-1100
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0172651 NY
Physical Therapist 225100000X 017265-1 NY Primary

Addresses

Primary practice location

1 Radisson PLZ
9TH Floor
New Rochelle, NY 10801-5766

Mailing address

1 Radisson PLZ
9TH Floor
New Rochelle, NY 10801-5766
Phone (914) 632-1100

Other identifiers 3

IdentifierTypeStateIssuer
133733650OtherNYNR TAX IDENTIFICATION #
133586197OtherNYTAX IDENTIFICATION #
133733650OtherNYNRPT TAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001829 NY Practitioner - Physical Therapist in Private Practice 0042206716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

466 Main St
Suite 200
New Rochelle, NY 10801-6431
Phone (914) 632-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0172651NYMDSpecialist
017265-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Lileika PT, PC Physical Therapist CurrentSince Jul 1, 2010 Accepting new patients
Visionique Inc Past Accepting new patients
New Rochelle Physical Therapy Specialist Past Accepting new patients

Locations

1 Radisson Plz
Ste 901
New Rochelle, NY 10801
Phone (914) 632-1100

145 Huguenot St
Ste 330
New Rochelle, NY 10801
Phone (332) 215-6631

466 Main St
Ste 200
New Rochelle, NY 10801
Phone (914) 632-1100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1316935141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RADISSON PLZ",
            "address_2": "9TH FLOOR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015766",
            "telephone_number": "914-632-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RADISSON PLZ",
            "address_2": "9TH FLOOR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015766",
            "telephone_number": "914-632-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILEIKA",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0172651",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017265-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NR TAX IDENTIFICATION #",
            "identifier": "133733650",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION #",
            "identifier": "133586197",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NRPT TAX ID #",
            "identifier": "133733650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.