Active NPI
Alexis Griffin, PT, DPT, SCS, ATC
- Sports Physical Therapist
- Austin, TX
National Provider Identifier
1144655549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 014373
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014373 | OH | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kollective Medical, LLC | Current | 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.
-
- Physical Therapist
- Austin, TX
- NPI 1700457561
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
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.