Individual provider Active NPI

Cynthia Lynne Alvis I, PT

  • Neurology Physical Therapist
  • Colleyville, TX
National Provider Identifier
1205959624
Registry record updated Feb 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
1028496 Issued in TX
Practice address
4714 Mill Xing W
Colleyville, TX 76034-3681
Phone
(817) 498-3339
NPI assigned
Apr 9, 2007
Last updated
Feb 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1028496 TX
Pediatric Physical Therapist 2251P0200X 1028496
Pediatric Physical Therapist 2251P0200X 1028496 TX
Neurology Physical Therapist 2251N0400X 1028496 TX Primary

Addresses

Primary practice location

4714 Mill Xing W
Colleyville, TX 76034-3681

Mailing address

4714 Mill Xing W
Colleyville, TX 76034-3681
Phone (817) 723-7003

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
1028496TXMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550966400000",
    "number": "1205959624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 MILL XING W",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343681",
            "telephone_number": "817-723-7003",
            "fax_number": "817-498-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 MILL XING W",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343681",
            "telephone_number": "817-498-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIS",
        "first_name": "CYNTHIA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1028496",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": "1028496",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1028496",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1028496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; 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.