Individual provider Active NPI

Alexis Kresl, DPT, PT

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1215582580
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296932 Issued in CA
Practice address
9675 Brighton Way Ste 250
Beverly Hills, CA 90210-5180
Phone
(310) 278-5337
NPI assigned
Aug 5, 2019
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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 296932 CA Primary

Addresses

Primary practice location

9675 Brighton Way Ste 250
Beverly Hills, CA 90210-5180

Mailing address

10071 Flower St
Broomfield, CO 80021-3779
Phone (480) 707-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414002533 CO Practitioner - Physical Therapist in Private Practice 5092045047 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296932CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 10, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 10, 2024 Accepting new patients
Denver Physical Therapy at Home Physical Therapist CurrentSince Mar 30, 2020 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Rodrigo D. Rodriguez PastSince Mar 30, 2020 Accepting new patients

Locations

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1215582580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 FLOWER ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213779",
            "telephone_number": "480-707-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105180",
            "telephone_number": "310-278-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESL",
        "first_name": "ALEXIS",
        "name_prefix": "Miss",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.