Provider Demographics
NPI:1932664166
Name:FERRER, ALEXIS E (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:E
Last Name:FERRER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:E
Other - Last Name:FERRER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-1980
Mailing Address - Fax:
Practice Address - Street 1:9449 J ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1218
Practice Address - Country:US
Practice Address - Phone:402-593-7345
Practice Address - Fax:402-593-0882
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3907225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist