MEDICARE: ALEXANDRA COLON-MENDEZ PTA

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	2187983	TX

General Provider Information

NPI Number	:	1609702836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA COLON-MENDEZ PTA

Provider Business Mailing Address
First Line	:	11301 FARRAH UNIT 535
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-7906
Country	:	US
Telephone Number	:	813-784-2008
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 FARRAH UNIT 535
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-7906
Country	:	US
Telephone Number	:	813-784-2008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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