Active NPI
Alexis K Perreira
- Physical Therapist
- Coppell, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1401948
- Practice address
- 3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473 - Phone
- (866) 221-5405
- NPI assigned
- Jul 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 1401948 | TX | Primary |
Addresses
Primary practice location
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Mailing address
46-324 Kalali St
Kaneohe, HI 96744-4129
Phone (808) 674-7315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19505 7TH Ave NE
Poulsbo, WA 98370-7700
Phone (360) 779-3777
20211 Patio Dr
Suite 205
Castro Valley, CA 94546-4338
Phone (510) 537-3991
5910 Pacific Ave
Stockton, CA 95207-4704
Phone (209) 475-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1401948 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Sports Physical Therapy Centers Inc | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
Locations
20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991
5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000
19505 7th Ave NE
Poulsbo, WA 98370
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Organizations & group practices 4
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
- Silverdale, WA
- NPI 1912902347
-
- Physical Therapist
- Monterey, CA
- NPI 1467436329
-
- Physical Therapist
- Albany, CA
- NPI 1891472965
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1316775398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46-324 KALALI ST",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967444129",
"telephone_number": "808-674-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OLYMPUS BLVD STE 500",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195473",
"telephone_number": "866-221-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERREIRA",
"first_name": "ALEXIS",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1401948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.