Alexandra Russomano Nelson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035400 Issued in NY

Practice address

333 E 38TH St FL 5
New York, NY 10016-2772

Phone

(646) 501-7077

NPI assigned

Jul 9, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1982045878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 CENTER BLVD APT 717",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095851",
            "telephone_number": "973-725-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 38TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162772",
            "telephone_number": "646-501-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ALEXANDRA",
        "middle_name": "RUSSOMANO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Neseta Nelson-Lawrence
• Dijon Yvonne Nelson-Rhem, FNP-BC
• Aaron Lane Alexander Nelson, MD., M.S.
• Adin Nelson, M.D.
• Alexa Kimberly Nelson
• Allysha Shanaya Nelson
• Alyson Deborah Nelson, PHD
• Amorr Nelson, MD
• Amphaphone Selena Nelson, PHARMACIST
• Angela Mary Nelson, CRNP

• Physical Therapist in New York, NY
• Providers in New York, 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 Jan 14, 2020; 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.