Alicia Mae Marks, DPT

Key facts

NPI

1508209461

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT022133 (PA)

Practice address

138 Arlington Dr
Slippery Rock, PA 16057-1168

Phone

(814) 242-7148

NPI assigned

Apr 10, 2013

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 10, 2013.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1508209461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ARLINGTON DR",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571168",
            "telephone_number": "814-242-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ARLINGTON DR",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571168",
            "telephone_number": "814-242-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "ALICIA",
        "middle_name": "MAE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Slippery Rock, PA · Physical Therapist in Pennsylvania