Alisha D. Miduri, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013547L Issued in PA

Practice address

2032 E Pleasant Valley Blvd
Suite 2
Altoona, PA 16602-7515

Phone

(814) 944-8264

Fax

(814) 944-7904

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blair Orthopedic Associates, Inc.

  dba Blair Orthopedic

  • Orthopaedic Surgery Physician
  • Altoona, PA
  • NPI 1104886712

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1215023346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DRIVE",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 E PLEASANT VALLEY BLVD",
            "address_2": "SUITE 2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166027515",
            "telephone_number": "814-944-8264",
            "fax_number": "814-944-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDURI",
        "first_name": "ALISHA",
        "middle_name": "D.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013547L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7343147",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "624028",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER/HEALTH ASSUR.",
            "identifier": "270685",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L. Lonesky OD PC (Brande Saad Group)
• Ashley Michelow
• Lauren Michina
• Traci Mickey, A.T.C.
• Midtown Oaks Health & Rehab Center, LLC
• Jessica Mielnik
• Mikayla Anne Mignogna
• Milanak Family Vision Center, L.L.C.
• Julia Dawn Milanak, O.D.
• Dena Marie Miles, PA-C

• Physical Therapist in Altoona, PA
• Providers in Altoona, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.