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

Miss. Alexis Lisa Mack, DPT

Individual provider Physical Therapist · NPI 1649845454

Miss. Alexis Lisa Mack, DPT is a Physical Therapist in Private Practice in Tonawanda, New York. Qualified in 2021, 5 years ago. Practices with Sports Physical Therapy of New York, PC, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2540 Sheridan Dr
Tonawanda, NY 14150-9410
Phone: (716) 862-0567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6965 Goldfinch Ct, North Tonawanda, NY 14120-1376 — (716) 548-2930

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NY)

Record details

NPI number1649845454
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sports Physical Therapy Of New York, P.C. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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