Individual provider Active NPI

Jebu Alexander, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1659730364
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039908 Issued in NY
Practice address
171 Kings Hwy
Brooklyn, NY 11223-1023
Phone
(516) 503-9396
NPI assigned
Feb 23, 2016
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 039908 NY Primary

Addresses

Primary practice location

171 Kings Hwy
Brooklyn, NY 11223-1023

Mailing address

4 Balsam CT
New City, NY 10956-6718
Phone (914) 844-6468

Other practice location 1

176 Grand St
White Plains, NY 10601-4803
Phone (914) 328-6080

Other practice location 2

4 Balsam Ct
New City, NY 10956
Phone (914) 844-6468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713000404 NY Practitioner - Physical Therapist in Private Practice 3173815008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039908NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New York Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Apr 17, 2016 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients

Locations

2444 Walton Ave
Bronx, NY 10468
Phone (718) 220-8293

741 E 233rd St
Bronx, NY 10466
Phone (718) 405-0205

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1659730364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BALSAM CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566718",
            "telephone_number": "914-844-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231023",
            "telephone_number": "516-503-9396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Grand St",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014803",
            "country_code": "US",
            "telephone_number": "914-328-6080",
            "fax_number": "914-328-6081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Balsam Ct",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "10956",
            "country_code": "US",
            "telephone_number": "914-844-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JEBU",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039908",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.