Active NPI
Alicia P Dwyer, PT, DPT
- Physical Therapist
- Saint Francisville, LA
National Provider Identifier
1003136359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07862
- Practice address
- PO Box 3064
Saint Francisville, LA 70775-3064 - Phone
- (225) 892-3987
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL89420 | MA | |
| Physical Therapist | 225100000X | 055728 | NY | |
| Physical Therapist | 225100000X | 07862 | LA | Primary |
Addresses
Primary practice location
PO Box 3064
Saint Francisville, LA 70775-3064
Mailing address
169 Madison Ave Ste 15501
New York, NY 10016-5101
Phone (385) 308-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07862 | LA | MD | Physical Therapist |
| PTL89420 | MA | MD | Physical Therapist |
| 055728 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRPT-Lake Rehabilitation Centers, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1093797722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1003136359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "385-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 3064",
"city": "SAINT FRANCISVILLE",
"state": "LA",
"postal_code": "707753064",
"telephone_number": "225-892-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "ALICIA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL89420",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "055728",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Francisville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.