Active NPI
Alexis Rosales, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1154095552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4260
- Practice address
- 4235 N 90TH St
Omaha, NE 68134-4136 - Phone
- (402) 934-0045
- Fax
- (402) 934-6562
- NPI assigned
- Aug 9, 2021
- 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 | 4260 | NE | Primary |
Addresses
Primary practice location
4235 N 90TH St
Omaha, NE 68134-4136
Mailing address
PO Box 34669
Omaha, NE 68134-0669
Phone (402) 932-6791
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1154095552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34669",
"city": "OMAHA",
"state": "NE",
"postal_code": "681340669",
"telephone_number": "402-932-6791",
"fax_number": "402-614-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 N 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344136",
"telephone_number": "402-934-0045",
"fax_number": "402-934-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "ALEXIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.