Active NPI
Alice Victoria Kavalaskia, PT
- Physical Therapist
- Candler, NC
National Provider Identifier
1144413642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8204
- Practice address
- 82 Morgan St #2
Candler, NC 28715 - Phone
- (828) 606-0703
- Fax
- (828) 665-2101
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 8204 | NC | Primary |
| Physical Therapist | 225100000X | 7649 | TN | |
| Physical Therapist | 225100000X | 8019 | WA |
Addresses
Primary practice location
82 Morgan St #2
Candler, NC 28715
Mailing address
82 Morgan St #2
Candler, NC 28715
Phone (828) 606-0703
Other names 1
- Mrs. Alice Victoria Hall
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8204 | NC | MD | Physical Therapist |
| 7649 | TN | MD | Physical Therapist |
| 8019 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | 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 Therapist
- Portland, OR
- NPI 1144042649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1144413642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MORGAN ST #2",
"city": "CANDLER",
"state": "NC",
"postal_code": "28715",
"telephone_number": "828-606-0703",
"fax_number": "828-665-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MORGAN ST #2",
"city": "CANDLER",
"state": "NC",
"postal_code": "28715",
"telephone_number": "828-606-0703",
"fax_number": "828-665-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVALASKIA",
"first_name": "ALICE",
"middle_name": "VICTORIA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8204",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7649",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "8019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "HALL",
"middle_name": "VICTORIA",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Candler, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.