Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aleksandr Zhidetskiy, DPT

Individual provider Physical Therapist · NPI 1215474440

Aleksandr Zhidetskiy, DPT is a Physical Therapist in Private Practice in Long Beach, California. Qualified in 2016, 10 years ago. Practices with Wellness Tribe Physical Therapy Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

355 Coronado Ave Apt 17
Long Beach, CA 90814-2671
Phone: (562) 761-9942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 292371 (CA)

Record details

NPI number1215474440
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESJanuary 25, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wellness Tribe Physical Therapy Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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