ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) – Physical Therapist, NPI 1124509013

ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) is a healthcare provider. based in Odessa, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1307736 (TX). The NPI Number for ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) is 1124509013

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT)
NPI
1124509013
Phone
(432) 366-9541
Address
4407 N GRANDVIEW AVE
Enumeration Date
28 August 2018
Last Update Date
20 December 2022

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
4323669541
Graduation Year
2018 (8 years ago)
PAC ID
7911241260
Group Practice PAC ID
2163324955
Professional Enrollment ID
I20181128000356
Address ID
TX797625311OD4407XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT)

  • 4407, North Grandview Avenue, Scottsdale, Odessa, Ector County, Texas, 79762, United States

    ODESSA, TX 797625311

    Phone: (432) 366-9541

    Type: Location

  • 7701 E HIGHWAY 191 APT 616

    ODESSA, TX 797625366

    Phone: (956) 832-4949

    Type: Mailing

  • 4407 N GRANDVIEW AVE

    ODESSA, TX 797625311

    Phone: (956) 832-4949

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181128000356IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163324955View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1124509013 for ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT).
Is ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) currently accepting referrals based on NPI status?
Registry metadata lists ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) as active.
What type of care does ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) provide?
ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) tied to Odessa, Texas?
If you are local to Odessa, Texas, ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT) may be relevant to your search.
Why is information missing for ALEXIS LIZBETH KAUTEN-CREWS (PT, DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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