Alexis Ernst
Individual provider Active NPI Physical Therapy Assistant · Manchester, IA
NPI 1114704095 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1114704095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 093466 (IA)
- Practice address
- 105 McCarren Dr
Manchester, IA 52057-1835 - Phone
- (563) 920-7798
- NPI assigned
- Sep 13, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093466 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 093466 | IA | Yes |
Addresses
Primary practice location
105 McCarren Dr
Manchester, IA 52057-1835
Mailing address
PO Box 44
Colesburg, IA 52035-0044
Other providers in Manchester, IA
- Dunn Chiropractic Clinic
- Garry M Dunn
- Derek Manson Dzaboff
- Janet Eimers
- Scott Elrod
- Stephanie Elaine Fangman
- Lucas Richard Fangmann
- Samantha Madeline Whei Fitzgerald
- Barry Francois
- Full Circle Physical Therapy, LLC
All providers in Manchester, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.