NPIMap

Organization Active NPI

Alliance Therapy Outpatient Services

  • Physical Therapist
  • Beaumont, TX
National Provider Identifier
1891050811
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1177573 Issued in TX
Legal business name
ALLIANCE THERAPY OUTPATIENT SERVICES
Practice address
3560 Delaware St Ste 311
Beaumont, TX 77706-3060
Phone
(409) 299-4638
Fax
(409) 299-4640
NPI assigned
Jul 5, 2012
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dexter Simmons, PTNPI 1528482486
Title
Physical Therapist
Phone
(409) 466-3776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1177573 TX Primary
Physical Therapist 225100000X 1179483 TX
Occupational Therapist 225X00000X 110199 TX
Speech-Language Pathologist 235Z00000X 104713 TX

Addresses

Primary practice location

3560 Delaware St Ste 311
Beaumont, TX 77706-3060

Mailing address

3560 Delaware St Ste 311
Beaumont, TX 77706-3060
Phone (409) 299-4638

National Provider Directory

National Provider Directory

Locations

3560 Delaware St
Ste 311
Beaumont, TX 77706
Phone (409) 299-4638

6465 Calder Ave
Ste 204
Beaumont, TX 77706
Phone (409) 299-4638

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1891050811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 311",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063060",
            "telephone_number": "409-299-4638",
            "fax_number": "409-299-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 311",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063060",
            "telephone_number": "409-299-4638",
            "fax_number": "409-299-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE THERAPY OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "409-466-3776",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1177573",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1179483",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110199",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.