Provider Demographics
NPI:1184656985
Name:GREENBERG, ALEXIS (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:SILBERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:280 ROUTE 9 N
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1572
Mailing Address - Country:US
Mailing Address - Phone:732-387-5750
Mailing Address - Fax:732-387-4165
Practice Address - Street 1:280 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1572
Practice Address - Country:US
Practice Address - Phone:732-387-5750
Practice Address - Fax:732-387-4165
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00812600225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ100456 DBDMedicare ID - Type Unspecified