Individual provider Active NPI

Alexis Kate Spahn, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1760075329
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
54921 Issued in AL
Practice address
4890 University SQ Ste 7
Huntsville, AL 35816-1896
Phone
(256) 837-2470
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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 54921 AL Primary

Addresses

Primary practice location

4890 University SQ Ste 7
Huntsville, AL 35816-1896

Mailing address

360 Ryecroft Rd NW
Huntsville, AL 35806-5393
Phone (904) 622-6048

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

LicenseStateTypeSpecialty
54921ALMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1760075329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 RYECROFT RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358065393",
            "telephone_number": "904-622-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 UNIVERSITY SQ STE 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161896",
            "telephone_number": "256-837-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAHN",
        "first_name": "ALEXIS",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "54921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.