Alicia Lynne Vann, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048387 Issued in NY

Practice address

17 Sunrise Dr
Oswego, NY 13126-1838

Phone

(315) 342-4790

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Link Home Therapy Services of Ny-PT OT SLP PLLC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
  • NPI 1942782966
  NPD
• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755
  NPD

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1124542204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BINGHAM RD",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SUNRISE DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261838",
            "telephone_number": "315-342-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 1st St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "VA",
            "postal_code": "226111188",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 1st St",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "VA",
            "postal_code": "226111186",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131266495",
            "country_code": "US",
            "telephone_number": "315-349-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262507",
            "country_code": "US",
            "telephone_number": "315-349-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "ALICIA",
        "middle_name": "LYNNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211386",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Anne Van Auken
• Taylor Van Camp
• Scott C. Van Gorder, D.O.
• Jon Robert Vanderweele, DO
• Bobbie Rae Faivus Vangorder, P.A.
• Corliss Adam Varnum, M.D.
• Ruth Noemi Vasquez, NP
• Jennifer Lynn Vayner, PTA
• Nichole Leone Veaudry, PTA
• Alexis N Veiga, COTA

• Physical Therapist in Oswego, NY
• Providers in Oswego, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.