Devora Alexander

Individual provider Active NPI Physical Therapist · New York, NY

NPI 1457073504 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1457073504
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
2465 Broadway Lowr Level
New York, NY 10025-7486
Phone
(212) 877-2525
Fax
(212) 877-5767
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 23

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic (529 clinicians)

Practice addresses (Care Compare)

1776 Broadway
Suite 1220
New York, NY 10019-2007
Phone (212) 823-9730

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100 (group)
Quality
70
Improvement activities
40
Cost
78.87

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230317000158 NY Practitioner - Physical Therapist in Private Practice 5496129264 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Current
since Dec 1, 2023
Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current
since Feb 27, 2023
Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current
since Feb 27, 2023
Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Physical Therapist Current
since Dec 1, 2023
Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

3 Huntington Quadrangle
Ste 103N
Melville, NY 11747
Phone (516) 474-2816

2465 Broadway
Lowr
New York, NY 10025
Phone (212) 877-2525

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NY Yes

Addresses

Primary practice location

2465 Broadway Lowr Level
New York, NY 10025-7486

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002

Other providers in New York, NY

All providers in New York, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.