Active NPI
Alvin Andrews
- Physical Therapist
- Grand Prairie, TX
National Provider Identifier
1700254109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1261131
- Practice address
- 805 W Carrier Pkwy
Grand Prairie, TX 75050-1044 - Phone
- (817) 984-9580
- NPI assigned
- Sep 2, 2015
- Last updated
- Sep 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1261131 | TX | Primary |
Addresses
Primary practice location
805 W Carrier Pkwy
Grand Prairie, TX 75050-1044
Mailing address
821 E Grubb Dr
Mesquite, TX 75149-7505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1261131 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1700254109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 E GRUBB DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751497505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750501044",
"telephone_number": "817-984-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "ALVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1261131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.