Individual provider Active NPI

Alyson Kirkland O'Banion, MPT

  • Physical Therapist
  • Augusta, GA
National Provider Identifier
1396087896
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006389 Issued in GA
Practice address
1220 W Wheeler Pkwy
Suite E
Augusta, GA 30909-6625
Phone
(706) 446-1399
Fax
(706) 210-2036
NPI assigned
Mar 22, 2013
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006389 GA Primary
Physical Therapist 225100000X 3853 SC

Addresses

Primary practice location

1220 W Wheeler Pkwy
Suite E
Augusta, GA 30909-6625

Mailing address

1220 W Wheeler Pkwy
Suite E
Augusta, GA 30909-6625
Phone (706) 446-1399

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
006389GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1396087896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY",
            "address_2": "SUITE E",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096625",
            "telephone_number": "706-446-1399",
            "fax_number": "706-210-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY",
            "address_2": "SUITE E",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096625",
            "telephone_number": "706-446-1399",
            "fax_number": "706-210-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANION",
        "first_name": "ALYSON",
        "middle_name": "KIRKLAND",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "006389",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.