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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: August 02, 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
Phone(631) 629-1261
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

NIKOLET PETRAS DPT
Physical Therapist
18 PROSPECT ST
HUNTINGTON, NY 11743
Suffolk County (631) 629-1261
RECOVRY PHYSICAL THERAPY PLLC
Physical Medicine & Rehabilitation
18 PROSPECT ST
HUNTINGTON, NY 11743
Suffolk County (631) 629-1261

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.

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 21 months 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.