Alaina Christen Petzold, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1335906 Issued in TX

Practice address

1840 E State Highway 71
La Grange, TX 78945-4625

Phone

(979) 250-5135

Fax

(979) 250-5134

NPI assigned

Dec 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alaina Dock Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultimate Rehab PLLCGroup PAC ID 7012361611, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ultimate Rehab, PLLC

  • Physical Therapist
  • La Grange, TX
  • NPI 1689390239
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1043970049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E STATE HIGHWAY 71",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789454625",
            "telephone_number": "979-250-5135",
            "fax_number": "979-250-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E STATE HIGHWAY 71",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789454625",
            "telephone_number": "979-250-5135",
            "fax_number": "979-250-5134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Marks Pl # 110",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451250",
            "country_code": "US",
            "telephone_number": "979-242-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETZOLD",
        "first_name": "ALAINA",
        "middle_name": "CHRISTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1335906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAINA",
            "last_name": "DOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Nichols, LCSW
• Michael Charles Nondorf, DDS
• Ana Christine Norwood, MA, LPCA, NCC
• Oakbend Medical Center
• Veronica Olivares-Garza
• Hanna Florence Pilat, PA-C
• Anant Chelva Praba, M.D.
• Rose Lee Prashad, PHD
• Progressive Health of Fayette Inc.
• Progressive Health of Fayette Inc.

• Physical Therapist in La Grange, TX
• Providers in La Grange, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.