Alicia Levengood, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1949 Issued in TN

Practice address

301 Fish St
Star City, AR 71667-5838

Phone

(870) 941-3644

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1144855099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISH ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675838",
            "telephone_number": "870-941-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISH ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675838",
            "telephone_number": "870-941-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENGOOD",
        "first_name": "ALICIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA1949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Johnson, BS, MHPP
• Amanda H Kelley
• Kenneth a Heiles, D.O. PLLC
• Leech Drug Co Inc (Star City Drug Mart)
• Robert William Leech Jr., PD
• Mallori Levengood
• Tasha Lewis, LCSW
• Linco Health, Inc.
• Lincolin Co Assisted Living (Daltons Place @ Star City)
• Mainline Health Systems Inc (Star City Community Dental Clinic)

• Physical Therapy Assistant in Star City, AR
• Providers in Star City, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.