Anthony Luis Alicea, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018484 Issued in PA

Practice address

136 Lake St
Ephrata, PA 17522-2415

Phone

(717) 738-7979

NPI assigned

Apr 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Freedom LLCGroup PAC ID 6406104728, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Freedom LLC

  • Occupational Therapist
  • Lancaster, PA
  • NPI 1861989493

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1740454834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 CLARK ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 LAKE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222415",
            "telephone_number": "717-738-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "ANTHONY",
        "middle_name": "LUIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arun Agrawal, MD
• Mercedes E Agudo, MD, LFAPA, DFAACAP
• Akt Pediatric Therapy Services, LLC
• Albright Opticians, Inc
• Denise Alexander, PHARM.D.
• Ammar Alimam, MD
• Andrew Ambort, DO
• American Current Care P.a.
• Deidreann Anita Anderson
• Anesthesia and Pain of Assoc of No Lancaster Cty

• Physical Therapist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.