Individual provider Active NPI

Alexis Trevino, DPT, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1124877014
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1395822 Issued in TX
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240925000807 TX Practitioner - Physical Therapist in Private Practice 3476094897 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1395822TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 9, 2024 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.

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.

Verify at the official NPI Registry.