ALEXANDRA RAE PETERSEN PT, DPT, CSCS
NPI 1790645232
Physical Therapist in New York, NY
About Alexandra Rae Petersen Pt, Dpt, Cscs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA RAE PETERSEN PT, DPT, CSCS (NPI 1790645232) is an individual physical therapist in New York, New York, licensed in New York (055426) and active in the NPI registry since November 2025. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexandra Rae Petersen Pt, Dpt, Cscs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10022
- Reassigned Medicare billing, New York enrollment
- 706 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10004
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 Alexandra Petersen's NPI number?
The NPI number for Alexandra Petersen is 1790645232. It was assigned to this individual provider in the NPPES registry on November 17, 2025.
Where is Alexandra Petersen located?
Alexandra Petersen practices at 30 Broad St, New York, NY 10004. The listed phone number is (646) 790-7454.
What is Alexandra Petersen's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Alexandra Petersen enrolled in Medicare?
Yes. Alexandra Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alexandra Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Petersen reassigns Medicare benefits to Spear Physical And Occupational Therapy, LLC (New York, 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 Alexandra Petersen'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 Alexandra Petersen was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.