Provider Demographics
NPI:1578158960
Name:PHINISEY, ALEXIS (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:PHINISEY
Suffix:
Gender:
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:BRAHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1463 PEMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-6104
Mailing Address - Country:US
Mailing Address - Phone:740-827-0887
Mailing Address - Fax:
Practice Address - Street 1:71451 TAMZEN WAY
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8642
Practice Address - Country:US
Practice Address - Phone:513-751-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017904225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist