Individual provider Active NPI

Alexandra Rose Incontro

  • Physical Therapist
  • Melville, NY
National Provider Identifier
1700645132
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051899 Issued in NY
Practice address
1895 Walt Whitman Rd Ste 8
Melville, NY 11747-3027
Phone
(631) 577-3400
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 051899 NY Primary

Addresses

Primary practice location

1895 Walt Whitman Rd Ste 8
Melville, NY 11747-3027

Mailing address

2589 Fortesque Ave
Oceanside, NY 11572-2411
Phone (516) 524-3741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112002354 NY Practitioner - Physical Therapist in Private Practice 4082190897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Ohio Ave
Long Beach, NY 11561-1128

2589 Fortesque Ave
Oceanside, NY 11572-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051899NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chakra Physical Therapy P.C. Physical Therapist CurrentSince Jan 4, 2026 Accepting new patients

Organizations & group practices 1

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1700645132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 FORTESQUE AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722411",
            "telephone_number": "516-524-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 WALT WHITMAN RD STE 8",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473027",
            "telephone_number": "631-577-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCONTRO",
        "first_name": "ALEXANDRA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.