Active NPI
Samantha Jordan Alvarez, PT, DPT
- Physical Therapist
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1286306
- Practice address
- 49 Penn Ave
Victoria, TX 77904-4738 - Phone
- (361) 935-8519
- NPI assigned
- Feb 19, 2017
- Sex
- Female
- 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 | 1286306 | TX | Primary |
Addresses
Primary practice location
49 Penn Ave
Victoria, TX 77904-4738
Mailing address
49 Penn Ave
Victoria, TX 77904-4738
Phone (361) 935-8519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170607000750 | TX | Practitioner - Physical Therapist in Private Practice | 7810264207 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agility Physical Therapy and Sports Rehabilitation,LLC
Practice addresses (Care Compare)
11450 Space Ctr Blvd
Suite 201
Houston, TX 77059-3642
Phone (281) 998-0901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agility Physical Therapy and Sports Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
306 W Edgewood Dr
Ste E
Friendswood, TX 77546
Phone (281) 998-0901
11450 Space Center Blvd
Ste 201
Houston, TX 77059
Phone (281) 988-0901
2047 W Main St
Ste A10
League City, TX 77573
Phone (281) 207-7575
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.
-
- Physical Therapist
- Houston, TX
- NPI 1720484678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487462400000",
"number": "1730628017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 PENN AVE",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779044738",
"telephone_number": "361-935-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 PENN AVE",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779044738",
"telephone_number": "361-935-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "SAMANTHA",
"middle_name": "JORDAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-19",
"last_updated": "2017-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1286306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.