Alicia A Nixon, PT BCB PMD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014787 Issued in FL

Practice address

827 Cypress Village Blvd
Ruskin, FL 33573-6838

Phone

(813) 633-0669

Fax

(813) 633-0881

NPI assigned

Aug 1, 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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garner Physical Therapy Center LLCGroup PAC ID 4688656036, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alician@direct.meditouchehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garner Physical Therapy Center LLC

  • Physical Therapist
  • Ruskin, FL
  • NPI 1659387314
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1386651651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 YELLOWKNIFE CIR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335987126",
            "telephone_number": "727-776-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736838",
            "telephone_number": "813-633-0669",
            "fax_number": "813-633-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "ALICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT BCB PMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT014787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00065042",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8895007 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y6115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CHI Thien Nguyen, DDS
• Cong Nguyen, DDS
• Charmaine Nichols
• Yarilexi Nieves, RN
• Sarah Lynn Nigro, APRN, PMHNP-BC
• Ray Nick Nixon Jr., PTA
• Natacha Noel
• Maryse Noreau
• Northside Cardiology
• Jovonne Norton

• Physical Therapist in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.