Individual provider Active NPI

Alexis Haley Rodriguez

  • Physical Therapist
  • Lakewood, CO
National Provider Identifier
1730967449
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP038680T Issued in CO
Practice address
255 Union Blvd Ste 110
Lakewood, CO 80228-1833
Phone
(214) 282-3194
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1377493 TX
Physical Therapist 225100000X CP038680T CO Primary

Addresses

Primary practice location

255 Union Blvd Ste 110
Lakewood, CO 80228-1833

Mailing address

255 Union Blvd Ste 110
Lakewood, CO 80228-1833
Phone (214) 282-3194

Other practice location 1

1601 N Collins Blvd
Richardson, TX 75080-3520
Phone (972) 470-5855

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP038680TCOMDPhysical Therapist
1377493TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathis Therapy - a Therapy Connection, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1601 N Collins Blvd
Richardson, TX 75080
Phone (972) 470-5855

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1730967449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "214-282-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "214-282-3194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N Collins Blvd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750803520",
            "country_code": "US",
            "telephone_number": "972-470-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEXIS",
        "middle_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1377493",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP038680T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.