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

Alexis Joy Koudelka, DPT

Individual provider Physical Therapist · NPI 1821575010

Alexis Joy Koudelka, DPT is a Physical Therapist in Providence, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2018.

Licensed in
MA, RI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

668 Eddy St
Providence, RI 02903-4942
Phone: (401) 430-7247
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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 PT03086 (RI)
Physical Therapist Taxonomy 225100000X · Licence 23136 (MA)

Record details

NPI number1821575010
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 20, 2018
Last updated in NPPESJuly 20, 2018

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