Alicia Dolan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61033597 Issued in WA

Practice address

400 29TH St NE
Puyallup, WA 98372-6774

Phone

(253) 840-4400

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1710443577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 GLENWILLOW DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH ST NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726774",
            "telephone_number": "253-840-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Glenwillow Dr",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751305",
            "country_code": "US",
            "telephone_number": "716-400-7257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212610",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61033597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard DO, O.D.
• Tammy Doane
• Nonna Ynethca Dobyns, DNP, ARNP, FNP-C
• Kenzie Dodds, MS
• Emily Ann Dohrmann, OD
• Marina Viktorovna Dolmatova, ARNP
• Margaret Donaho
• Jessica Donaldson
• Dong W Han DMD PLLC
• Natalie J Dong, PH.D.

• Physical Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.