Active NPI
Alexis Trevino, DPT, PT
- Physical Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1395822
- Practice address
- 11219 Potranco Rd # a-110
San Antonio, TX 78253-5848 - Phone
- (210) 679-6900
- Fax
- (210) 679-6904
- NPI assigned
- May 14, 2024
- 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 | 1395822 | TX | Primary |
Addresses
Primary practice location
11219 Potranco Rd # a-110
San Antonio, TX 78253-5848
Mailing address
12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone (210) 679-6900
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
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11219 Potranco Rd
Suite 110
San Antonio, TX 78253-5849
Phone (210) 679-6900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1395822 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical & Sports Rehabilitation Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Momentum Physical & Sports Rehabilitation Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Kinematic Concepts Physical Therapy & Sports Rehab, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
124 E Bandera Rd
Ste 402
Boerne, TX 78006
Phone (830) 428-2950
2004 10th St
Floresville, TX 78114
Phone (830) 393-8800
12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600
1412 Sidney Baker St
Kerrville, TX 78028
Phone (830) 315-8420
7909 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 590-7412
7003 S New Braunfels Ave
Ste 114
San Antonio, TX 78223
Phone (210) 829-0359
10555 Culebra Rd
Ste 103
San Antonio, TX 78251
Phone (210) 888-6042
11219 Potranco Rd
Ste 110
San Antonio, TX 78253
Phone (210) 679-6900
21727 W Interstate 10
Ste 110
San Antonio, TX 78257
Phone (210) 314-1402
20821 US Highway 281 N
Ste 110
San Antonio, TX 78258
Phone (210) 372-9600
5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888
Organizations & group practices 3
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
- Helotes, TX
- NPI 1871990275
-
- Physical Therapist
- Tampa, FL
- NPI 1609243328
-
- Physical Therapist
- San Antonio, TX
- NPI 1023079712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1124877014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12952 BANDERA RD STE 107",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234733",
"telephone_number": "210-679-6900",
"fax_number": "210-679-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11219 POTRANCO RD # A-110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535848",
"telephone_number": "210-679-6900",
"fax_number": "210-679-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "ALEXIS",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1395822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.