Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex Martynenko

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1124833629

Alex Martynenko is a Physical Therapist in Private Practice in Colleyville, Texas. Qualified in 2024, 2 years ago. Practices with Colleyville Physical Therapy and Sports Rehab, PC, a 12-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025

Practice location Address checks out

1109 Church St
Colleyville, TX 76034-5849
Phone: (817) 498-3919
Fax: (817) 498-7080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1404068 (TX)

Record details

NPI number1124833629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 11, 2025
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address1109 Church St, Colleyville, TX 76034-5849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Colleyville Physical Therapy And Sports Rehab, Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colleyville