Individual provider Active NPI

Alvin Lee Atkinson II, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1497643159
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1406695 Issued in TX
Practice address
3809 S 2ND Street
Suite D100
Austin, TX 78704-7086
Phone
(512) 215-9272
Fax
(512) 215-8934
NPI assigned
Jun 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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
Physical Therapist 225100000X 1406695 TX Primary

Addresses

Primary practice location

3809 S 2ND Street
Suite D100
Austin, TX 78704-7086

Mailing address

PO Box 932184
Atlanta, GA 31193-2184
Phone (904) 895-5518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821000968 TX Practitioner - Physical Therapist in Private Practice 6709386147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1406695TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Jun 15, 2025 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Jun 15, 2025 Accepting new patients

Locations

3809 S 2nd St
Ste D100
Austin, TX 78704
Phone (512) 800-2569

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

Organizations & group practices 2

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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1497643159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184",
            "telephone_number": "904-895-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 S 2ND STREET",
            "address_2": "SUITE D100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047086",
            "telephone_number": "512-215-9272",
            "fax_number": "512-215-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "ALVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-08-13",
        "certification_date": "2025-06-24",
        "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": "1406695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.