Vickie Service, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

12605A Issued in AZ

Practice address

200 W. Hospital Dr.
Whiteriver, AZ 85941

Phone

(928) 338-3606

NPI assigned

Dec 29, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1437694478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W. HOSPITAL DR",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410860",
            "telephone_number": "928-338-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W. HOSPITAL DR.",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-338-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVICE",
        "first_name": "VICKIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "12605A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agafe Saguros
• Melissa Sams
• Jacob Sandoval, PHARMD
• Kenneth R Say, RPH
• Sequel Tsi of Az, LLC
• Lauren M Sheehy
• Shana Shriber, PHARMD
• Philip J Siebigteroth, PHARM.D.
• Daijonnai Maykel Smith, OTD, ATC
• Tina Marrie Smith, FNP

• Physical Therapy Assistant in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.