Individual provider Active NPI

Alyssa E Cantu, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1619771854
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1355363 Issued in TX
Practice address
6320 Richmond Ave
Houston, TX 77057-5906
Phone
(346) 438-6179
NPI assigned
Apr 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1355363 TX Primary

Addresses

Primary practice location

6320 Richmond Ave
Houston, TX 77057-5906

Mailing address

845 Fisher St Unit B
Houston, TX 77018-5342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416001555 TX Practitioner - Physical Therapist in Private Practice 0648795260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1355363TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Universe Physical LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Bay Area Rehabilitation Center PastSince Apr 6, 2025 Accepting new patients

Locations

6320 Richmond Ave
Houston, TX 77057
Phone (346) 438-6179

11611 W Airport Blvd
Ste H242
Meadows Place, TX 77477

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": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1619771854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 FISHER ST UNIT B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575906",
            "telephone_number": "346-438-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "ALYSSA",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1355363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.