Individual provider Active NPI

Douglas Anthony Alberici, PT

  • Physical Therapist
  • Deer Park, NY
National Provider Identifier
1770520751
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021665 Issued in NY
Practice address
505 Grand Blvd
Suite 4
Deer Park, NY 11729-5300
Phone
(631) 940-9800
Fax
(631) 940-9801
NPI assigned
May 31, 2006
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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 021665 NY Primary

Addresses

Primary practice location

505 Grand Blvd
Suite 4
Deer Park, NY 11729-5300

Mailing address

505 Grand Blvd
Suite 4
Deer Park, NY 11729-5300
Phone (631) 940-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117001269 NY Practitioner - Physical Therapist in Private Practice 6709840879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onr National Speech Pathology IncGroup PAC ID 2668463522, 61 clinicians

Practice addresses (Care Compare)

10 Cheshire PL
East Northport, NY 11731-2503
Phone (631) 651-9333

55 Ayrault Rd
Fairport, NY 14450-2865
Phone (585) 653-7697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Park PT & Pta Physical Therapy & Rehabilitation, PLLC Physical Therapist CurrentSince Jun 16, 2014 Accepting new patients
Onr National Speech Pathology Inc Physical Therapist CurrentSince Feb 11, 2026 Accepting new patients
Sherrie Glasser Physical Therapy/John Douglas Pta Past Accepting new patients
Sherrie Glasser, Physical Therapist. PC Physical Therapist Past Accepting new patients

Locations

505 Grand Blvd
Ste 4
Deer Park, NY 11729
Phone (631) 643-7656

220 Fort Salonga Rd
Ste 202
Northport, NY 11768
Phone (631) 757-1601

806 E Main St
Riverhead, NY 11901
Phone (631) 381-0201

Organizations & group practices 4

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1770520751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GRAND BLVD",
            "address_2": "SUITE 4",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295300",
            "telephone_number": "631-940-9800",
            "fax_number": "631-940-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GRAND BLVD",
            "address_2": "SUITE 4",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295300",
            "telephone_number": "631-940-9800",
            "fax_number": "631-940-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERICI",
        "first_name": "DOUGLAS",
        "middle_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.