Individual provider Active NPI

Alexander Joseph Bruskin, PT, DPT, CSCS

  • Physical Therapist
  • Cambridge, MA
National Provider Identifier
1396413605
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25613 Issued in MA
Practice address
32 Prospect St
Cambridge, MA 02139-2401
Phone
(617) 465-5877
NPI assigned
Sep 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 25613 MA Primary

Addresses

Primary practice location

32 Prospect St
Cambridge, MA 02139-2401

Mailing address

1 Aberdeen Way Ste 116
Cambridge, MA 02138-4659
Phone (908) 644-9713

Other names 1

  • Alex Bruskin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25613MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1396413605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ABERDEEN WAY STE 116",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384659",
            "telephone_number": "908-644-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PROSPECT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392401",
            "telephone_number": "617-465-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSKIN",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "BRUSKIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.