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MR. ALEX JOHN PETRUSKA JR. PT
NPI 1912930819
Physical Therapist - Sports in Boston, MA

Active since July 07, 2006
175 CAMBRIDGE ST, SUITE 470, BOSTON, MA 02114(617) 643-0912 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Alex John Petruska Jr. Pt NPPES

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

MR. ALEX JOHN PETRUSKA JR. PT (NPI 1912930819) is an individual sports provider in Boston, Massachusetts, licensed in Massachusetts (2874) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912930819
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameMR. ALEX JOHN PETRUSKA JR.Credential: PT
Location Address175 CAMBRIDGE ST, SUITE 470Boston, MA 02114-2743
Mailing Address175 Cambridge St, Suite 470Boston, MA 02114-2743 · (617) 643-0912
Phone(617) 643-0912
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912930819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in MA · 2874
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
175 CAMBRIDGE ST, Boston, MA 02114
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Other Identifiers 1

Medicare ID-Type UnspecifiedY65112MA

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.

DANIEL J TOWNSEND M.D.
Ophthalmology
175 CAMBRIDGE ST, C/O PROOPTICAL
BOSTON, MA 02114
Suffolk County (617) 267-7545
DR. BERTRAM ZARINS M.D.
Orthopaedic Surgery (Sports Medicine)
175 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 726-3421
ANNE STYERS VISER PT
Physical Therapist (Orthopedic)
175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114
Suffolk County (617) 643-1230
MR. KYLE JOSEPH RODENHI MS, PT
Physical Therapist
175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114
Suffolk County (617) 643-9999
JESSICA LEVITSKY PTA
Physical Therapy Assistant
175 CAMBRIDGE ST, SUITE 470
BOSTON, MA 02114
Suffolk County (617) 643-9999
JEFFREY KUBLIN OD
Optometrist
175 CAMBRIDGE ST
BOSTON, MA 02114
Suffolk County (617) 523-7006
ORTHOCARE MEDICAL EQUIPMENT, LLC
Durable Medical Equipment & Medical Supplies
175 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114
Suffolk County (617) 643-0927
KRISTON A GANGULI M.D.
Pediatrics (Pediatric Gastroenterology)
175 CAMBRIDGE ST, CRP 575
BOSTON, MA 02114
Suffolk County (617) 726-1450

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 Alex Petruska's NPI number?

The NPI number for Alex Petruska is 1912930819. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Alex Petruska located?

Alex Petruska practices at 175 Cambridge St Suite 470, Boston, MA 02114. The listed phone number is (617) 643-0912.

What is Alex Petruska's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Alex Petruska was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.