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

Alisa Phommavong

Individual provider Physical Therapist · NPI 1154273522

Alisa Phommavong is a Physical Therapist in Private Practice in Austin, Texas. Qualified in 2025, 1 year ago. Practices with Texas Physical Therapy Specialists, Inc, a 234-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2026
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Practice location Address checks out

6836 Austin Center Blvd Ste 1-180
Austin, TX 78731-3188
Phone: (512) 225-1002
Fax: (512) 501-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TX)

Record details

NPI number1154273522
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

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 Texas Physical Therapy Specialists, Inc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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