Active NPI
Alexis Lizbeth Kauten-Crews, PT, DPT
- Physical Therapist
- Odessa, TX
National Provider Identifier
1124509013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1307736
- Practice address
- 4407 N Grandview Ave
Odessa, TX 79762-5311 - Phone
- (432) 366-9541
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1307736 | TX | Primary |
Addresses
Primary practice location
4407 N Grandview Ave
Odessa, TX 79762-5311
Mailing address
4407 N Grandview Ave
Odessa, TX 79762-5311
Phone (956) 832-4949
Other names 1
- Alexis Lizbeth Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4407 N Grandview Ave
Odessa, TX 79762-5311
Phone (432) 366-9541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Physical Therapist
- Odessa, TX
- NPI 1609873439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1124509013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625311",
"telephone_number": "956-832-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625311",
"telephone_number": "432-366-9541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUTEN-CREWS",
"first_name": "ALEXIS",
"middle_name": "LIZBETH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1307736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "HERNANDEZ",
"middle_name": "LIZBETH",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.