Active NPI
Alice Susan Higgins, P.T.A.
- Physical Therapy Assistant
- Massapequa, NY
National Provider Identifier
1679652374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 002634-1
- Practice address
- 4200 Sunrise Hwy
Massapequa, NY 11758-5303 - Phone
- (516) 541-1064
- Fax
- (516) 798-9070
- NPI assigned
- Nov 3, 2006
- 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 | 002634-1 | NY | Primary |
Addresses
Primary practice location
4200 Sunrise Hwy
Massapequa, NY 11758-5303
Mailing address
42 Pace Dr
North Babylon, NY 11703-5315
Phone (631) 422-6908
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 |
|---|---|---|---|
| 002634-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679652374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 PACE DR",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117035315",
"telephone_number": "631-422-6908",
"fax_number": "516-798-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SUNRISE HWY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585303",
"telephone_number": "516-541-1064",
"fax_number": "516-798-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "ALICE",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "002634-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.