Louis Richard Alix, PTA

Individual provider Active NPI Physical Therapy Assistant · Eau Claire, WI

NPI 1619038726 · NPPES record last updated Jul 8, 2007

Key facts

NPI: 1619038726
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: 45-019 (WI)
Practice address: 1405 Truax Blvd
Eau Claire, WI 54703-1474
Phone: (715) 552-1030
NPI assigned: Dec 12, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

NSH Altoona LLC Skilled Nursing Facility · Altoona, WI · NPI 1760900559

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
45-019	WI	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
NSH Altoona LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	45-019	WI	Yes

Addresses

Primary practice location

1405 Truax Blvd
Eau Claire, WI 54703-1474

Mailing address

S10876 Cty Rd R
Augusta, WI 54722
Phone (715) 577-8257

Other identifiers

Identifier	Type	State	Issuer
40394400	Medicaid	WI

Other providers in Eau Claire, WI

All providers in Eau Claire, WI · Physical Therapy Assistant in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.