Active NPI
Aleecia Abbott
- Physical Therapist
- Foley, AL
National Provider Identifier
1710026638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1216
- Practice address
- 110 Elecia Lane
Foley, AL 36535 - Phone
- (251) 971-1436
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- 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 | PTH1216 | AL | Primary |
Addresses
Primary practice location
110 Elecia Lane
Foley, AL 36535
Mailing address
24280 State Hwy 181
Daphne, AL 36526
Phone (251) 990-4577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-37250 | Other | AL | AL BCBS PROVIDER NUMBER |
| 51094057 | Other | AL | BCBS PT PROVIDER |
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 |
|---|---|---|---|
| PTH1216 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710026638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24280 STATE HWY 181",
"city": "DAPHNE",
"state": "AL",
"postal_code": "36526",
"telephone_number": "251-990-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ELECIA LANE",
"city": "FOLEY",
"state": "AL",
"postal_code": "36535",
"telephone_number": "251-971-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "ALEECIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH1216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BCBS PROVIDER NUMBER",
"identifier": "515-37250",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PT PROVIDER",
"identifier": "51094057",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
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.