Douglas Anthony Alberici, PT
Individual provider Active NPI Physical Therapist · Deer Park, NY
NPI 1770520751 · NPPES record last updated Jun 4, 2014
Key facts
- NPI
- 1770520751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 021665 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deer Park PT and Pta Physical Therapy and Rehabilitation PLLC
Onr National Speech Pathology Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041117001269 | NY | Practitioner - Physical Therapist in Private Practice | 6709840879 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onr National Speech Pathology Inc | Physical Therapist | Current |
Accepting new patients |
| Deer Park PT & Pta Physical Therapy & Rehabilitation, PLLC | Physical Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021665 | NY | Yes |
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
Other providers in Deer Park, NY
- Alex Joseph Aiello
- Hissan Akbar
- Rezan Akpinar
- Al-Shifaa Healing Sanctuary
- Alam Medical, PC
- Alexander Schwindeman Physcial Therapist
- Hasan Ali
- Samin Ali
- All-Island Home Care Services
- Annette Alleyne
All providers in Deer Park, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.