Individual provider Active NPI

Alexis Nieva Llarena, P.T.

  • Physical Therapist
  • York, PA
National Provider Identifier
1295860336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008108L Issued in PA
Practice address
970 Colonial Ave
Colonial Manor Nursing Home and Rehabilitation Center
York, PA 17403-3430
Phone
(717) 845-2661
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008108L PA Primary

Addresses

Primary practice location

970 Colonial Ave
Colonial Manor Nursing Home and Rehabilitation Center
York, PA 17403-3430

Mailing address

1188 Caspian Dr
York, PA 17404-9061
Phone (717) 764-0171

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

State licenses

LicenseStateTypeSpecialty
PT008108LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295860336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 CASPIAN DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174049061",
            "telephone_number": "717-764-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 COLONIAL AVE",
            "address_2": "COLONIAL MANOR NURSING HOME AND REHABILITATION CENTER",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033430",
            "telephone_number": "717-845-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLARENA",
        "first_name": "ALEXIS",
        "middle_name": "NIEVA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008108L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • 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.