Individual provider Active NPI

Kathleen Alice, P.T.A.

  • Physical Therapy Assistant
  • New York, NY
National Provider Identifier
1386192334
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
000303 Issued in NY
Practice address
227 Riverside Dr Apt 1a
New York, NY 10025-6817
Phone
(212) 865-7401
NPI assigned
Sep 20, 2016
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 000303 NY Primary

Addresses

Primary practice location

227 Riverside Dr Apt 1a
New York, NY 10025-6817

Mailing address

227 Riverside Dr Apt 1a
New York, NY 10025-6817
Phone (212) 865-7401

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
000303NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1386192334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 RIVERSIDE DR APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256817",
            "telephone_number": "212-865-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RIVERSIDE DR APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256817",
            "telephone_number": "212-865-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICE",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.