Individual provider Active NPI

Samantha Jordan Alvarez, PT, DPT

  • Physical Therapist
  • Victoria, TX
National Provider Identifier
1730628017
Registry record updated Feb 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1286306 Issued in TX
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

Updated by the provider on Feb 19, 2017

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 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 IDStateProvider typePAC IDDetails
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 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Agility Physical Therapy and Sports Rehabilitation, LLC Physical Therapist CurrentSince Feb 27, 2017 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.

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.

Verify at the official NPI Registry.