Alice Lorraine Iloncai, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502001889 Issued in MI

Practice address

1376 Hunt Rd
Mayville, MI 48744-9744

Phone

(989) 670-9414

NPI assigned

Jan 28, 2014

Last updated

Jan 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1083037063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 HUNT RD.",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "487449744",
            "telephone_number": "989-670-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 HUNT RD",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "487449744",
            "telephone_number": "989-670-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILONCAI",
        "first_name": "ALICE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Glenn
• Jennifer Greenlee, SCHOOL PSYCHOLOGIST
• Richard Paul Horsch, M.D.
• Deborah Huber
• Tamera Huntley, LLPC
• Debra Ann Kaluk, SLP, MA-CCC
• Rhian Marcum
• Marlette Regional Hospital (Mayville Family Healthcare)
• Darla Dawn Mays, PA-C
• Mayville Area Ambulance Service

• Physical Therapy Assistant in Mayville, MI
• Providers in Mayville, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.