Individual provider Active NPI

Alexis Griffin, PT, DPT, SCS, ATC

  • Sports Physical Therapist
  • Austin, TX
National Provider Identifier
1144655549
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
014373 Issued in OH
Practice address
200 Academy Dr
Austin, TX 78704-1870
Phone
(563) 554-7413
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 014373 OH Primary

Addresses

Primary practice location

200 Academy Dr
Austin, TX 78704-1870

Mailing address

200 Academy Dr
Austin, TX 78704-1870
Phone (563) 554-7413

Other names 1

  • Alexis Roseman Former 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
014373OHMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kollective Medical, LLC CurrentSince Feb 27, 2022 Accepting new patients
University of Cincinnati Physicians Company, LLC Past Accepting new patients

Locations

200 Academy Dr
Austin, TX 78704
Phone (512) 971-4394

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1144655549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ACADEMY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041870",
            "telephone_number": "563-554-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ACADEMY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041870",
            "telephone_number": "563-554-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ALEXIS",
        "credential": "PT, DPT, SCS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "014373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "ROSEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.