Alec Jonah Eisman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048718 Issued in NY

Practice address

13240 Metropolitan Ave
Richmond Hill, NY 11418-1966

Phone

(718) 376-1111

NPI assigned

Jul 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theradynamics Rehab PT, OT and SLP, PLLCGroup PAC ID 4082045802, 63 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.73 of 100Reported as group

Quality

75.36

Improvement activities

40

Cost

71.28

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Theradynamics Rehab. PT, OT & SLP, PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1912463399

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639804776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 YELLOWSTONE BLVD APT B55",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753450",
            "telephone_number": "516-510-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 METROPOLITAN AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181966",
            "telephone_number": "718-376-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Leonard St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134092",
            "country_code": "US",
            "telephone_number": "212-577-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISMAN",
        "first_name": "ALEC",
        "middle_name": "JONAH",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Sholom Inc.
• E.Sholom Inc.
• Deandre Eccles
• Joseph Peter Edde
• Saad Ehsan Ullah, MD
• Hadil El Chehouri, DDS
• Samar Elassar
• Mohamed Mahmoud Aly Elhagaa
• Ahmed Mohamed Khaled Elhoufy
• Izhar Eliaz, PH.D

• Physical Therapist in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.