MEDICARE: ALEXANDER REHABILITATION COMPANY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1588137863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER REHABILITATION COMPANY LLC

Provider Business Mailing Address
First Line	:	115 FM 2453 STE D
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-7037
Country	:	US
Telephone Number	:	469-209-6870
Fax Number	:	469-340-0007

Provider Business Practice Location Address
First Line	:	115 FM 2453 STE D
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-7037
Country	:	US
Telephone Number	:	469-209-6870
Fax Number	:	469-340-0007

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. JEROMEE CAMERON ALEXANDER
Credential	:	PT, DPT, CCI
Telephone Number	:	469-209-6870

Provider Enumeration Date	:	01/09/2019
Last Update Date	:	01/09/2019

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