Alice C Phillips, OTR L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OTR127 Issued in AR

Practice address

1 Treasure Hill Rd
Little Rock, AR 72205-2219

Phone

(501) 223-8996

NPI assigned

Nov 21, 2006

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

Other names 1

• Ms. Alice Charles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MCH Physical Therapy Clinic, Inc.

  • Physical Therapist
  • Little Rock, AR
  • NPI 1285611731
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194890723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 AREHART DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722098013",
            "telephone_number": "501-562-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TREASURE HILL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052219",
            "telephone_number": "501-223-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ALICE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "OTR127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "CHARLES",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Phelps, MHPP
• Philander Smith University
• Robert Phillips-Cosio
• Tiffany Phillips-Peters
• Alexandria Phillips
• Alton Charles Phillips Sr., PARAPROFESSIONAL
• Amy Margaret Phillips, MD
• Ashlyn Elizabeth Phillips
• Blake Phillips, M.D.
• Carrie Helen Phillips, ARNP-C

• All providers in Little Rock, AR
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.