Alexis Squires, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1400688 Issued in TX

Practice address

5667 FM 1488 Rd
Magnolia, TX 77354-4299

Phone

(281) 766-0278

NPI assigned

Jul 12, 2017

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Mexico Physical Therapists Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Los Lunas, NM
  • NPI 1033115050
  NPD (past)
• New Mexico Physical Therapists Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Albuquerque, NM
  • NPI 1306842828
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1740702729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 FM 1488 RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544299",
            "telephone_number": "281-766-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 FM 1488 RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544299",
            "telephone_number": "281-766-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Constitution Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107643",
            "country_code": "US",
            "telephone_number": "505-291-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "ALEXIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "NM5091",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1400688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Care Counseling Magnolia PLLC
• Southern Legacy Hospice LLC
• Southern Wellness Chiropractic PLLC
• Sarah Spann
• Speech Magnolias, PLLC
• Gary Lee Squyres, DDS
• Richard Srebro, M.D.
• St Nicholas Project, Inc (St Nicholas - Home Health)
• Martaya St. John
• Jeffrey Joseph Stachowiak

• Physical Therapist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.