Alexander Robert Blumberg, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045677 Issued in NY

Practice address

4 Irongate Ctr
Glens Falls, NY 12801-3471

Phone

(518) 926-2030

NPI assigned

Feb 13, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1972136364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 GRAND AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666116",
            "telephone_number": "315-717-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 IRONGATE CTR",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-926-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014413",
            "country_code": "US",
            "telephone_number": "518-926-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "ALEXANDER",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette M Biss, CNM
• Donna C Bjorkman, LCSW
• Trevor Edward Black, M.D.
• Corrie L Blair, CASAC-T
• Michelle Blesso, PHARMD
• Amy E Bly, FNP
• Devon E Bock, MD
• Susan Boggia, AU.D.
• Susan Bogosian, RN
• Rebekah Booth

• Physical Therapist in Glens Falls, NY
• Providers in Glens Falls, 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 Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.