Individual provider Active NPI

Aleksandr Lipel, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1497721591
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023424 Issued in NY
Practice address
3715 Mermaid Ave
Brooklyn, NY 11224-1218
Phone
(917) 612-3971
Fax
(718) 934-3330
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 023424 NY Primary

Addresses

Primary practice location

3715 Mermaid Ave
Brooklyn, NY 11224-1218

Mailing address

3715 Mermaid Ave
Brooklyn, NY 11224-1218
Phone (917) 612-3971

Other identifiers 1

IdentifierTypeStateIssuer
02202940MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000619 NY Practitioner - Physical Therapist in Private Practice 6901700160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Gravesend Neck Rd
FL 2
Brooklyn, NY 11229-4426
Phone (718) 714-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023424NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magna Physical Therapy PC Physical Therapist CurrentSince May 5, 2003 Accepting new patients
Nyc Occupational Therapy PC PastSince Mar 1, 2012 Accepting new patients

Locations

1601 Gravesend Neck Rd
Fl 2
Brooklyn, NY 11229
Phone (718) 252-2311

1601 Gravesend Neck Rd
Ste 11
Brooklyn, NY 11229
Phone (718) 714-0700

Organizations & group practices 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497721591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241218",
            "telephone_number": "917-612-3971",
            "fax_number": "718-934-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241218",
            "telephone_number": "917-612-3971",
            "fax_number": "718-934-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPEL",
        "first_name": "ALEKSANDR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02202940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.