Alexa Therese Mouton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-32784 Issued in AZ

Practice address

10440 E Riggs Rd Ste 215
Sun Lakes, AZ 85248-7755

Phone

(480) 304-5510

NPI assigned

Jan 20, 2023

Last updated

Jan 20, 2023By the provider in NPPES

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

Summit Therapy LLCGroup PAC ID 9436288636, 13 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Therapy LLC

  dba Summit Therapy Group

  • Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1811227093
  Medicare reassignment Care Compare group NPD
• Activerx, Inc.

  dba Active Rx Physical Therapy

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1962668764
  Medicare reassignment NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1609581909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N HAYDEN RD # 123-505",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 E RIGGS RD STE 215",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487755",
            "telephone_number": "480-304-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "ALEXA",
        "middle_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Therese McLaughlin, LMSW
• Mirsaidi PLLC
• Matine Mirsaidi, DPM
• Douglas Mitchell, D.P.T.
• Modern Sports Medicine LLC
• Jacob Muzzarelli, DPT
• Jeny R Neighbors, RPH
• Yumi Oh, MD
• Ashley Owens, PT
• Kenneth D Paige, DO

• Physical Therapist in Sun Lakes, AZ
• Providers in Sun Lakes, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.