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

Alexander Wilson, PT, DPT

Individual provider Physical Therapist · NPI 1124904859

Alexander Wilson, PT, DPT is a Physical Therapist in Private Practice in Tyler, Texas. Qualified in 2025, 1 year ago. Practices with Lonestar Physical Therapy and Sports Performance LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5759 Eagles Nest Blvd Ste 4
Tyler, TX 75703-6231
Phone: (903) 405-4899
Fax: (903) 638-2741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1407082 (TX)

Record details

NPI number1124904859
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address1731 McDonald Rd, Tyler, TX 75701-4724

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lonestar Physical Therapy And Sports Performance Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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