Alexander Perissi, PT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

048227-1 Issued in NY

Practice address

467 New York Ave
Huntington, NY 11743-3557

Phone

(631) 424-1100

Fax

(888) 483-0941

NPI assigned

Jan 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Prosports Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Huntington, NY
  • NPI 1902928138
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1356093900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 NEW YORK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433557",
            "telephone_number": "631-424-1100",
            "fax_number": "888-483-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 NEW YORK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433557",
            "telephone_number": "631-424-1100",
            "fax_number": "888-483-0941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 E Main St",
            "address_purpose": "LOCATION",
            "city": "Oyster Bay",
            "state": "NY",
            "postal_code": "117712440",
            "country_code": "US",
            "telephone_number": "516-864-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Birch Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Locust Valley",
            "state": "NY",
            "postal_code": "115601820",
            "country_code": "US",
            "telephone_number": "516-801-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERISSI",
        "first_name": "ALEXANDER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "048227-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelina Peralta, PHD
• Luz M Peralta, DNP
• Andrew L Peredo, MD
• Selwyn Jack Pereira, MD
• Jose M Perez, MD
• Elizabeth Perlstein, PT
• Dennis Perman, D.C.
• Regina Eileen Perman, P.T.
• Louis Anthony Perrotta Jr., M.D.
• Personal Home Care Inc.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.