Active NPI
Alyssa Frick, CPTA
- Physical Therapy Assistant
- Hays, KS
National Provider Identifier
1063856714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-02184
- Practice address
- 2707 Vine St
Suite 1
Hays, KS 67601-1949 - Phone
- (785) 628-2105
- NPI assigned
- Apr 24, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02184 | KS | Primary |
Addresses
Primary practice location
2707 Vine St
Suite 1
Hays, KS 67601-1949
Mailing address
2707 Vine St
Suite 1
Hays, KS 67601-1949
Phone (785) 628-2105
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 |
|---|---|---|---|
| 14-02184 | KS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koerner Chiropractic PA | Physical Therapy Assistant | Past | Accepting new patients |
| Koerner Chiropractic PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Ellis, KS
- NPI 1578838868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1063856714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 VINE ST",
"address_2": "SUITE 1",
"city": "HAYS",
"state": "KS",
"postal_code": "676011949",
"telephone_number": "785-628-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 VINE ST",
"address_2": "SUITE 1",
"city": "HAYS",
"state": "KS",
"postal_code": "676011949",
"telephone_number": "785-628-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICK",
"first_name": "ALYSSA",
"credential": "CPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-02184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.