Provider Demographics
NPI:1629130794
Name:SEKIRIN, ALEX (MPT, ACSM-CEP)
Entity type:Individual
Prefix:MR
First Name:ALEX
Middle Name:
Last Name:SEKIRIN
Suffix:
Gender:M
Credentials:MPT, ACSM-CEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PALOMINO DR
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3622
Mailing Address - Country:US
Mailing Address - Phone:917-848-3858
Mailing Address - Fax:732-750-4902
Practice Address - Street 1:1000 ROUTE 9 NORTH
Practice Address - Street 2:SUITE 202
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095
Practice Address - Country:US
Practice Address - Phone:732-750-4900
Practice Address - Fax:732-750-4902
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA012743002251S0007X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7546810OtherAETNA
DCH853 0002OtherCAREFIRST OF DC
MD7546810OtherAETNA