Individual provider Active NPI

Alexis St. Charles, PT

  • Physical Therapist
  • Helotes, TX
National Provider Identifier
1487202172
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1322681 Issued in TX
Practice address
12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone
(210) 372-9600
Fax
(210) 392-9923
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP008034T GA
Physical Therapist 225100000X 1322681 TX Primary

Addresses

Primary practice location

12952 Bandera Rd Ste 107
Helotes, TX 78023-4733

Mailing address

12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone (210) 372-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190924003684 TX Practitioner - Physical Therapist in Private Practice 7113257700 Reassigns benefits to 2 organizations
I20220801000066 GA Practitioner - Physical Therapist in Private Practice 7113257700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12952 Bandera Rd
Suite 107
Helotes, TX 78023-4733
Phone (210) 695-2682

Merit-based Incentive Payment System (MIPS)

Final score
63.18 of 100Reported as group
Quality
59.83
Improvement activities
20
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP008034TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Jun 23, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 23, 2022 Accepting new patients
Oordt Therapeutic Services, Inc Physical Therapist CurrentSince Dec 14, 2022 Accepting new patients
E&C Legacy Group, Inc. Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jun 23, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 23, 2022 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 26, 2019 Accepting new patients
PSC Fyz Dez, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 26, 2019 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 23, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

7805 Abercorn St
Ste 21
Savannah, GA 31406
Phone (912) 356-3559

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

6222 De Zavala Rd
Ste 101
San Antonio, TX 78249
Phone (210) 200-8552

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

14439 NW Military Hwy
Ste 107
Shavano Park, TX 78231
Phone (726) 201-4290

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1487202172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234733",
            "telephone_number": "210-372-9600",
            "fax_number": "210-392-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234733",
            "telephone_number": "210-372-9600",
            "fax_number": "210-392-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CHARLES",
        "first_name": "ALEXIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP008034T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1322681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.

Verify at the official NPI Registry.