Individual provider Active NPI

Alice Veronica Donlan, LPT

  • Geriatric Physical Therapist
  • Allentown, PA
National Provider Identifier
1548469083
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT007257L Issued in PA
Practice address
1925 W Turner St
Allentown, PA 18104-5513
Phone
(610) 794-5131
NPI assigned
Jul 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT007257L PA Primary
Geriatric Physical Therapist 2251G0304X 40A01017200 NJ
Geriatric Physical Therapist 2251G0304X 024834-1 NY
Orthopedic Physical Therapist 2251X0800X PT-007257-L PA

Addresses

Primary practice location

1925 W Turner St
Allentown, PA 18104-5513

Mailing address

110 Old Pen Argyl Rd
Bangor, PA 18013-9312
Phone (610) 588-0568

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
40A01017200NJMDGeriatric Physical Therapist
024834-1NYMDGeriatric Physical Therapist
PT-007257-LPAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Physical Therapy & Rehab, LLC PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1548469083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OLD PEN ARGYL RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139312",
            "telephone_number": "610-588-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W TURNER ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045513",
            "telephone_number": "610-794-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLAN",
        "first_name": "ALICE",
        "middle_name": "VERONICA",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT007257L",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40A01017200",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "024834-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT-007257-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.