Healthcare Provider Details

I. General information

NPI: 1558823906
Provider Name (Legal Business Name): REBECCA STELLA ALEXANDER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA STELLA ALEXANDER CAREY DPT

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 NORTH ST
NEWBURGH NY
12550-3131
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 845-565-5054
  • Fax:
Mailing address:
  • Phone: 845-636-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number044193
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: