Individual provider · Type 1 NPI

Alexandra Rae Petersen, PT, DPT, CSCS

Physical Therapist · New York, NY

NPI number 1790645232 Active

Practice location

30 Broad St
New York, NY 10004-2304

Call (646) 790-7454 Map

Mailing address

102 Madison Ave Fl 8
New York, NY 10016-7584

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X055426 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1790645232

Alexandra Rae Petersen, PT, DPT, CSCS's National Provider Identifier is 1790645232, issued on Nov 17, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in New York, NY. The record was last updated on Nov 17, 2025.