Halil Alicusic, PT, DPT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299325 Issued in CA

Practice address

39 Beta CT
San Ramon, CA 94583-1201

Phone

(877) 284-2638

NPI assigned

Jun 14, 2022

Last updated

Oct 1, 2023By the provider in NPPES

Sex

Male

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1730819624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 HARDING DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BETA CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831201",
            "telephone_number": "877-284-2638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Market St",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114518",
            "country_code": "US",
            "telephone_number": "717-737-7903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Peach St Ste 244",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165012134",
            "country_code": "US",
            "telephone_number": "814-877-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALICUSIC",
        "first_name": "HALIL",
        "credential": "PT, DPT.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "030026",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex R Diaz Inc
• Armance Alexander
• Lauren Ann Alexander, RN, MSN, ANP-BC
• Maureen Alford, RN
• Mir E Ali, M.D.
• Jordan Alingas
• Ofeliya Alizada
• Caroline Allen
• James Stephen Allen, D.O.
• Mikeisha Allen

• Physical Therapist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; 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.