Active NPI
Alicia Wayne
- Physical Therapy Assistant
- New Oxford, PA
National Provider Identifier
1679087233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE011528
- Practice address
- 2990 Carlisle Pike
New Oxford, PA 17350-9582 - Phone
- (814) 506-8212
- NPI assigned
- Nov 18, 2017
- 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 Therapy Assistant | 225200000X | TE011528 | PA | Primary |
Addresses
Primary practice location
2990 Carlisle Pike
New Oxford, PA 17350-9582
Mailing address
585 Old Mill Rd
Abbottstown, PA 17301-9793
Phone (717) 688-3720
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE011528 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510963200000",
"number": "1679087233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 OLD MILL RD",
"city": "ABBOTTSTOWN",
"state": "PA",
"postal_code": "173019793",
"telephone_number": "717-688-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 CARLISLE PIKE",
"city": "NEW OXFORD",
"state": "PA",
"postal_code": "173509582",
"telephone_number": "814-506-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNE",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-18",
"last_updated": "2017-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE011528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Oxford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.