Alexis Brooke Showers, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2636 Oakhill LN Apt 308
Traverse City, MI 49686-5052

Phone

(231) 622-2161

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alexis Brooke Donovan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1013494368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0900",
            "fax_number": "231-935-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 OAKHILL LN APT 308",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865052",
            "telephone_number": "231-622-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWERS",
        "first_name": "ALEXIS",
        "middle_name": "BROOKE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "DONOVAN",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Jankowski Shook, CPM, LM
• Shoreline Endodontics, P.C.
• Andrew William Short, M.D.
• Zachary Clay Short, DO
• Jessica Leigh Showalter, LLMSW
• Katheryn Marie Shrift-Ackerman, SLP
• Anna Lynn Shrift, PA-C
• Lacy Shugar
• Bethany Shuler
• Jordan Shuler, OTR/L

• Athletic Trainer in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.