Alexander Lyubomirov Vuchkov

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1380668 Issued in TX

Practice address

13000 Josey LN Ste 150
Farmers Branch, TX 75234-3670

Phone

(972) 247-1100

NPI assigned

Sep 5, 2023

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Richardson, TX
  • NPI 1972288728
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • College Station, TX
  • NPI 1164107934
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901
  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1699551788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 APPLE WAY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750636416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 JOSEY LN STE 150",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343670",
            "telephone_number": "972-247-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUCHKOV",
        "first_name": "ALEXANDER",
        "middle_name": "LYUBOMIROV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1380668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• US Diabetes LLC
• Venkata A Vallury, MD
• Vargas Dreams, PC
• Juan Ramon Vargas-Santos
• Villa Creek Medical Inc
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LP
• Shane Waldrop
• Walgreen Co
• Clarc Walker

• Physical Therapist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.