Active NPI
Alicia Anne Worley de Palacios, MS, PT
- Physical Therapist
- Berrien Springs, MI
National Provider Identifier
1609330141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 501003880
- Practice address
- 8460 S Hillcrest Dr
Berrien Springs, MI 49103-9586 - Phone
- (269) 235-1997
- NPI assigned
- Jan 29, 2019
- 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 | 501003880 | MI | Primary |
Addresses
Primary practice location
8460 S Hillcrest Dr
Berrien Springs, MI 49103-9586
Mailing address
8460 S Hillcrest Dr
Berrien Springs, MI 49103-9586
Phone (269) 235-1996
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501003880 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1609330141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8460 S HILLCREST DR",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491039586",
"telephone_number": "269-235-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8460 S HILLCREST DR",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491039586",
"telephone_number": "269-235-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY DE PALACIOS",
"first_name": "ALICIA",
"middle_name": "ANNE",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "501003880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.