Provider Demographics
NPI:1649639980
Name:RIOS, ALEXANDRA (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 700688
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0688
Mailing Address - Country:US
Mailing Address - Phone:210-318-3007
Mailing Address - Fax:210-468-0682
Practice Address - Street 1:1524 S IH 35 STE 140
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-2600
Practice Address - Country:US
Practice Address - Phone:800-404-6050
Practice Address - Fax:866-313-3397
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1282840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVCP008420TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
ORCP008671TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
IACP008909TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
UTCP008912TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
DECP008421TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
OHCP008670TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
NECP008910TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
VACP008913TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
TX1282840OtherPHYSICAL THERAPY LICENSE
OKCP008911TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
COCP008908TOtherPHYSICAL THERAPY COMPACT PRIVILEGES