Active NPI
Alicia P. Konen, PT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1417196957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2269
- Practice address
- 2030 Charlie Hall Blvd
Charleston, SC 29414-5830 - Phone
- (843) 763-4055
- Fax
- (843) 763-4056
- NPI assigned
- Feb 6, 2009
- Last updated
- Feb 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2269 | SC | Primary |
Addresses
Primary practice location
2030 Charlie Hall Blvd
Charleston, SC 29414-5830
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (800) 944-9782
Other names 1
- Alicia P. Cole
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2269 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233878400000",
"number": "1417196957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "800-944-9782",
"fax_number": "610-438-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 CHARLIE HALL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145830",
"telephone_number": "843-763-4055",
"fax_number": "843-763-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONEN",
"first_name": "ALICIA",
"middle_name": "P.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-06",
"last_updated": "2009-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "COLE",
"middle_name": "P.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.