Healthcare Provider Details

I. General information

NPI: 1790610087
Provider Name (Legal Business Name): ALEXA RICE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 BERGEN BLVD
FAIRVIEW NJ
07022-1323
US

IV. Provider business mailing address

915 CLINTON ST APT 5D
HOBOKEN NJ
07030-3070
US

V. Phone/Fax

Practice location:
  • Phone: 201-246-6011
  • Fax:
Mailing address:
  • Phone: 908-285-6507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: