Active NPI
Alexandra Halleck, PTA
- Physical Therapy Assistant
- Calhoun, GA
National Provider Identifier
1225679186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 1387 Hwy 41 N
Calhoun, GA 30701 - Phone
- (706) 629-1289
- NPI assigned
- Oct 2, 2019
- Last updated
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | NU | Primary |
Addresses
Primary practice location
1387 Hwy 41 N
Calhoun, GA 30701
Mailing address
10 Tallulah CT
Jonesboro, GA 30236-5488
Phone (678) 644-1642
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1225679186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TALLULAH CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302365488",
"telephone_number": "678-644-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 HWY 41 N",
"city": "CALHOUN",
"state": "GA",
"postal_code": "30701",
"telephone_number": "706-629-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLECK",
"first_name": "ALEXANDRA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.