Provider Demographics
NPI:1700030632
Name:SAMS, ALEXIS N (PT)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:N
Last Name:SAMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13236 N 7TH ST
Mailing Address - Street 2:SUITE 4 #546
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-730-4159
Mailing Address - Fax:
Practice Address - Street 1:1255 N ARIZONA AVE UNIT 1217
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-0710
Practice Address - Country:US
Practice Address - Phone:602-666-6620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10998225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist