Individual provider Active NPI

Aleksander W Pecherek, DO

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1619478229
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036167636 Issued in IL
Practice address
709 S Harbor City Blvd Ste 110
Melbourne, FL 32901-1906
Phone
(321) 499-4646
Fax
(321) 270-9449
NPI assigned
Feb 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036167636 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

709 S Harbor City Blvd Ste 110
Melbourne, FL 32901-1906

Mailing address

709 S Harbor City Blvd Ste 110
Melbourne, FL 32901-1906
Phone (321) 499-4646

Other practice location 1

4601 Military Trl Ste 208
Jupiter, FL 33458-4837
Phone (305) 284-7761

Other practice location 2

6438 N Milwaukee Ave
Chicago, IL 60631-2046
Phone (779) 946-2225

Other identifiers 2

IdentifierTypeStateIssuer
036167636OtherILLICENSE
OS17128OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220817001808 TX Practitioner - Osteopathic Manipulative Medicine 3476936824 Reassigns benefits to 1 organization
I20240503002886 IL Practitioner - Physical Medicine and Rehabilitation 3476936824 Reassigns benefits to 1 organization
I20251223003216 FL Practitioner - Physical Medicine and Rehabilitation 3476936824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Spine and WellnessGroup PAC ID 9931516804, 6 clinicians

Practice addresses (Care Compare)

709 S Harbor City Blvd
Suite 110
Melbourne, FL 32901-1906
Phone (321) 499-4646

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Pecherek SC. CurrentSince Aug 1, 2025 Accepting new patients
Center for Spine, Sports and Rehabilitation Excellence PA Physical Medicine & Rehabilitation CurrentSince Jul 15, 2022 Accepting new patients
Total Spine & Wellness CurrentSince Nov 10, 2025 Accepting new patients
Dr. Peaches PLLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2025 Accepting new patients
Dr. Peaches, Inc. Physical Medicine & Rehabilitation CurrentSince Sep 8, 2025 Accepting new patients
Jacksonville Crnas Inc CurrentSince Nov 18, 2025 Accepting new patients

Locations

4601 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 795-3787

709 S Harbor City Blvd
Ste 110
Melbourne, FL 32901
Phone (321) 499-4646

6438 N Milwaukee Ave
Chicago, IL 60631
Phone (773) 763-9305

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

1111 Highway 6
#S145
Sugar Land, TX 77478

3130 Grants Lake Blvd
Unit 18888
Sugar Land, TX 77496

1111 Highway 6
Ste 145
Sugar Land, TX 77478
Phone (713) 590-2700

Organizations & group practices 6

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1619478229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011906",
            "telephone_number": "321-499-4646",
            "fax_number": "321-270-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011906",
            "telephone_number": "321-499-4646",
            "fax_number": "321-270-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Military Trl Ste 208",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334584837",
            "country_code": "US",
            "telephone_number": "305-284-7761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6438 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606312046",
            "country_code": "US",
            "telephone_number": "779-946-2225",
            "fax_number": "773-763-9368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECHEREK",
        "first_name": "ALEKSANDER",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036167636",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036167636",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS17128",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.