ALEXANDER EBERENZ
NPI 1174343305
Physical Therapist - Orthopedic in Huntington, NY

Active since October 14, 2024
18 PROSPECT ST, HUNTINGTON, NY 11743(631) 629-1261 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alexander Eberenz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER EBERENZ (NPI 1174343305) is an individual orthopedic provider in Huntington, New York, licensed in New York (049390) and active in the NPI registry since October 2024. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1174343305
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameALEXANDER EBERENZ
Location Address18 PROSPECT STHuntington, NY 11743-3318
Mailing Address38 Phipps LnPlainview, NY 11803-1948 · (516) 474-0359
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 13, 2024
✔ NPI 1174343305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NY · 049390
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X
18 PROSPECT ST, Huntington, NY 11743

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Eberenz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022546340
PECOS Enrollment IDI20251009000290

Medicare Billing Reassignment

Medicare enrollment records show Alexander Eberenz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Medicine & Rehabilitation
18 PROSPECT STREET
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
18 PROSPECT ST
HUNTINGTON, NY 11743
Physical Medicine & Rehabilitation
18 PROSPECT ST
HUNTINGTON, NY 11743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Eberenz's NPI number?

The NPI number for Alexander Eberenz is 1174343305. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Alexander Eberenz located?

Alexander Eberenz practices at 18 Prospect St, Huntington, NY 11743. The listed phone number is (631) 629-1261.

What is Alexander Eberenz's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Alexander Eberenz enrolled in Medicare?

Yes. Alexander Eberenz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexander Eberenz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Eberenz reassigns Medicare benefits to Recovry Physical Therapy PLLC (Huntington, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Eberenz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexander Eberenz was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.