Alexis Ann Nystedt, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-32488 Issued in AZ

Practice address

1190 E Missouri Ave Ste 100
Phoenix, AZ 85014-2719

Phone

(602) 393-0520

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1447744461

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1619500212

  Physical Therapist

  NPD
• Rehab Without Walls, Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1497032247
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1508647231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 N 14TH PL APT 2037",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E MISSOURI AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142719",
            "telephone_number": "602-393-0520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 N Dreamy Draw Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850204641",
            "country_code": "US",
            "telephone_number": "602-870-7470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYSTEDT",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Alex Nyberg, MD
• Taylor Nye
• Nyi Nyi
• Consolee Nyiramana
• Wezzie Angellah Nyirenda I
• Mary Nyuyfone
• Sidi Nzaro
• Sang Youn O, D.O
• Christopher M O'Barr, MD
• O'Brien Physical Therapy, PLLC

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.