MR. ALEX JOHN JR. PETRUSKA (PT) – Sports Physical Therapist, NPI 1912930819

MR. ALEX JOHN JR. PETRUSKA (PT) is a healthcare provider. based in Boston, Massachusetts. specializing in Sports Physical Therapist. They hold the professional credentials PT. They hold a License No. 2874 (MA). The NPI Number for MR. ALEX JOHN JR. PETRUSKA (PT) is 1912930819

Main info

Male
Name
MR. ALEX JOHN JR. PETRUSKA (PT)
NPI
1912930819
Phone
(617) 643-0912
Address
175 CAMBRIDGE ST
Enumeration Date
7 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. ALEX JOHN JR. PETRUSKA (PT)

  • 175, Cambridge Street, West End, Boston, Suffolk County, Massachusetts, 02114, United States

    SUITE 470

    BOSTON, MA 021142743

    Phone: (617) 643-0912

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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Reviews

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Frequently asked questions

How is MR. ALEX JOHN JR. PETRUSKA (PT) identified in CMS data?
CMS-hosted NPPES data lists MR. ALEX JOHN JR. PETRUSKA (PT) with NPI 1912930819.
Does CMS list MR. ALEX JOHN JR. PETRUSKA (PT) as active?
Yes — MR. ALEX JOHN JR. PETRUSKA (PT) is active in the NPI listing used on this page.
What taxonomy line describes MR. ALEX JOHN JR. PETRUSKA (PT)?
For research purposes, treat MR. ALEX JOHN JR. PETRUSKA (PT) as Sports Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. ALEX JOHN JR. PETRUSKA (PT) serve?
MR. ALEX JOHN JR. PETRUSKA (PT)'s listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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