Active NPI
Kevin M. Alves, D.P.T
- Sports Physical Therapist
- Huntington, NY
National Provider Identifier
1639799687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 0433171
- Practice address
- 18 Prospect Street
Huntington, NY 11743 - Phone
- (631) 629-1261
- Fax
- (631) 479-1745
- NPI assigned
- Apr 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 0433171 | NY | Primary |
Addresses
Primary practice location
18 Prospect Street
Huntington, NY 11743
Mailing address
18 Prospect Street
Huntington, NY 11743
Phone (631) 629-1261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
18 Prospect St
Huntington, NY 11743-3318
Phone (631) 629-1261
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043317 | NY | MD | Pharmacist |
| 0433171 | NY | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovry Physical Therapy PLLC | Current | Accepting new patients | |
| Recovry Physical Therapy PLLC | Sports | Current | Accepting new patients |
Locations
18 Prospect St
Huntington, NY 11743
Phone (631) 629-1261
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.
-
- Physical Medicine & Rehabilitation Physician
- Huntington, NY
- NPI 1063022531
Sports
-
- Physical Medicine & Rehabilitation Physician
- Huntington, NY
- NPI 1811869084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1639799687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 PROSPECT STREET",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-629-1261",
"fax_number": "631-479-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 PROSPECT STREET",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-629-1261",
"fax_number": "631-479-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVES",
"first_name": "KEVIN",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-20",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "0433171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.