Individual provider Active NPI

Alexa Royston, DO

  • Physical Medicine & Rehabilitation Physician
  • Richardson, TX
National Provider Identifier
1649625450
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
S4379 Issued in TX
Practice address
3509 Spectrum Blvd Ste B
Richardson, TX 75082-9703
Phone
(972) 772-9600
Fax
(972) 772-9601
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Physical Medicine & Rehabilitation Physician 208100000X S4379 TX Primary

Addresses

Primary practice location

3509 Spectrum Blvd Ste B
Richardson, TX 75082-9703

Mailing address

3509 Spectrum Blvd Ste B
Richardson, TX 75082-9703
Phone (972) 772-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000655 TX Practitioner - Physical Medicine and Rehabilitation 7214352954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of North Texas HSC, College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Back CareGroup PAC ID 1951604313, 50 clinicians

Practice addresses (Care Compare)

3509 Spectrum Blvd
B
Richardson, TX 75082-9703
Phone (817) 442-9300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
S4379TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Back Care Physical Medicine & Rehabilitation CurrentSince Aug 1, 2020 Accepting new patients
Texas Health Back Care Physical Medicine & Rehabilitation CurrentSince Aug 1, 2020 Accepting new patients

Locations

1305 Airport Fwy
Ste 406
Bedford, TX 76021
Phone (817) 318-1414

1340 S Main St
Ste 100
Grapevine, TX 76051
Phone (682) 651-1908

6957 W Plano Pkwy
Ste 2500
Plano, TX 75093
Phone (214) 483-6933

3661 N Plano Rd
Ste 2200
Richardson, TX 75082

3509 Spectrum Blvd
#B
Richardson, TX 75082
Phone (972) 772-9600

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1649625450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 SPECTRUM BLVD STE B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829703",
            "telephone_number": "972-772-9600",
            "fax_number": "972-772-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 SPECTRUM BLVD STE B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829703",
            "telephone_number": "972-772-9600",
            "fax_number": "972-772-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTON",
        "first_name": "ALEXA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "S4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.