Alexandra Takagishi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12265 Issued in LA

Practice address

614 N Pine St
Deridder, LA 70634-3546

Phone

(337) 202-0568

NPI assigned

Feb 10, 2026

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2026.

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1083566459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16516 HOWARD ST APT A",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714597907",
            "telephone_number": "813-892-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706343546",
            "telephone_number": "337-202-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAGISHI",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "12265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Kay Stevens, RN
• Sherrie McDaniel Strother, RN
• Robbie Suire, R.N
• Matthew Lee Sykes
• Dorothy Annette Syzdek
• Flynn A Taylor I, M.D.
• The Big Pink Barn LLC
• The Foot Clinic of West Louisiana
• The Perkins Pediatric Clinic, LLC
• Terri Theaux, LPC

• All providers in Deridder, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.