Alicia Marie Connolly, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT105542 Issued in GA

Practice address

220 Main Street Loop
Kenai, AK 99611-7724

Phone

(907) 335-1020

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC, WA, CO3 enrollments

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colorado Health & Rehab LLC

  dba Strive Physical Therapy

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336542125
  Medicare reassignment NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833

  Physical Therapist

  Medicare reassignment NPD
• Southeastern Physical Therapy, LLC

  • Physical Therapist
  • Asheville, NC
  • NPI 1699791129
  Medicare reassignment NPD
• Colorado Health & Rehab LLC

  dba Strive Physical Therapy

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1245835966
  NPD
• Colorado Health & Rehab LLC

  dba Strive Physical Therapy

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1912596941
  NPD
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Physical Therapist

  NPD
• Integrated Rehabilitation Group, PC

  dba IRG - Argonaut Peak Physical Therapy

  • Physical Therapy Clinic/Center
  • Ellensburg, WA
  • NPI 1417648569

  Physical Therapist

  NPD

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1356043244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN STREET LOOP",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117724",
            "telephone_number": "907-335-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN STREET LOOP",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117724",
            "telephone_number": "907-335-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT105542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Kenai (Kenai Fire Department)
• City of Kenai
• Suzan Elaine Cobb, R.N.
• Kristen Leigh Coletti Giesler, MSN, APRN, FNP-C
• Compassionate Care Coordination & Planning LLC
• Consumer Care Network
• Consumer Care Network Inc
• Cook Inlet Council on Alcohol and Drug Abuse
• Cook Inlet Council on Alcohol and Drug Abuse
• Cook Inlet Council on Alcohol and Drug Abuse

• Physical Therapist in Kenai, AK
• Providers in Kenai, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.