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

Dr. Alexander Pisanello, DPT

Individual provider Physical Therapist · NPI 1750977211

Dr. Alexander Pisanello, DPT is a Physical Therapist in Private Practice in Ballston Spa, New York. Qualified in 2020, 6 years ago. Practices with Green Room Physical Therapy PLLC, a 10-clinician group. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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

85 Snowberry Rd
Ballston Spa, NY 12020-4463
Phone: (518) 690-5942
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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 04665901 (NY)

Record details

NPI number1750977211
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 17, 2020
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Green Room Physical Therapy Pllc — 10 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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