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

Individual provider Physical Therapist · NPI 1326115635

Dr. Alexander Formolow, DPT is a Physical Therapist in Private Practice in Willingboro, New Jersey. Qualified in 2003, 23 years ago. Practices with Rothman Orthopaedics of New Jersey, LLC, a 176-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2006
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

220 Sunset Rd Ste 5A And B
Willingboro, NJ 08046-1126
Phone: (609) 835-4801
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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 40QA01092200 (NJ)

Record details

NPI number1326115635
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESMarch 6, 2009
Mailing address703 Begonia Ct, Jackson, NJ 08527-4176

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Rothman Orthopaedics Of New Jersey, Llc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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