Individual provider Active NPI

Christie Tablizo Alquiza Jr., PT

  • Geriatric Physical Therapist
  • McKinney, TX
National Provider Identifier
1073094496
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
1072189 Issued in TX
Practice address
8300 Eldorado Pkwy
McKinney, TX 75070-5946
Phone
(972) 548-9339
Fax
(972) 569-9330
NPI assigned
Aug 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1072189 TX Primary

Addresses

Primary practice location

8300 Eldorado Pkwy
McKinney, TX 75070-5946

Mailing address

17521 US Highway 69 S Ste 120
Tyler, TX 75703-5596
Phone (903) 839-3600

Other names 1

  • Jay Alquiza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1072189TXMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baromed Hbo LLC PastSince Oct 1, 2023 Accepting new patients
Rehab Pro LP Geriatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1073094496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 US HIGHWAY 69 S STE 120",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035596",
            "telephone_number": "903-839-3600",
            "fax_number": "903-839-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 ELDORADO PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705946",
            "telephone_number": "972-548-9339",
            "fax_number": "972-569-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQUIZA",
        "first_name": "CHRISTIE",
        "middle_name": "TABLIZO",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1072189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "ALQUIZA",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.