Alexis Petty, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

230 California St Ste 400
San Francisco, CA 94111-4378

Phone

(415) 989-0955

NPI assigned

Nov 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Origin Physical Therapy Ca Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1982169595
  Medicare reassignment NPD

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1811654833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114378",
            "telephone_number": "415-989-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114378",
            "telephone_number": "415-989-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "ALEXIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine F. Petti, PA
• Brenden Pettingill
• Roderick W. Pettis, M.D.
• Elizabeth Pettit, MFTI
• Kate E. Pettit, M.D.
• Kate Petty, M.D.
• Marijan Pevec, D.C.
• Lu Peyre
• Shabnam Peyvandi, M.D.
• Nora Pfaff, MD

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.