Alexa Yancey
Individual provider Active NPI Physical Therapist · Deale, MD
NPI 1780127779 · NPPES record last updated Nov 23, 2016
Key facts
- NPI
- 1780127779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 26227 (MD)
- Practice address
- 5950 Deale Churchton Road
Suite C
Deale, MD 20751-9730 - Phone
- (410) 867-1517
- NPI assigned
- Nov 23, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26227 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26227 | MD | Yes |
Addresses
Primary practice location
5950 Deale Churchton Road
Suite C
Deale, MD 20751-9730
Mailing address
5950 Deale Churchton Rd
Deale, MD 20751-9730
Phone (410) 867-1517
Other providers in Deale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.