Provider Demographics
NPI:1710918479
Name:ELIAS-SPOHN, ALEXIS DELPHI (MPT T DPT)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:DELPHI
Last Name:ELIAS-SPOHN
Suffix:
Gender:F
Credentials:MPT T DPT
Other - Prefix:MISS
Other - First Name:ALEXIS
Other - Middle Name:DELPHI
Other - Last Name:ELIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 CONNER DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7038
Mailing Address - Country:US
Mailing Address - Phone:919-457-3697
Mailing Address - Fax:
Practice Address - Street 1:101 CONNER DR STE 201
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7038
Practice Address - Country:US
Practice Address - Phone:919-457-3697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11979225100000X
NCP18141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2552616Medicaid