Healthcare Provider Details

I. General information

NPI: 1497643159
Provider Name (Legal Business Name): ALVIN LEE ATKINSON II DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 08/13/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3809 S 2ND STREET SUITE D100
AUSTIN TX
78704-7086
US

IV. Provider business mailing address

PO BOX 932184
ATLANTA GA
31193-2184
US

V. Phone/Fax

Practice location:
  • Phone: 512-215-9272
  • Fax: 512-215-8934
Mailing address:
  • Phone: 904-895-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1406695
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: