Active NPI
Alexander Hulisz, DPT, PT
- Physical Therapist
- Placerville, CA
National Provider Identifier
1790206548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT292755
- Practice address
- 1252 Broadway
Placerville, CA 95667-5822 - Phone
- (530) 622-9410
- NPI assigned
- Jul 2, 2017
- Last updated
- Jul 2, 2017
- Sex
- Male
- 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 | PT292755 | CA | Primary |
Addresses
Primary practice location
1252 Broadway
Placerville, CA 95667-5822
Mailing address
7647 Oak Meadow Dr
Hudson, OH 44236-5339
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292755 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498953600000",
"number": "1790206548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7647 OAK MEADOW DR",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 BROADWAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675822",
"telephone_number": "530-622-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULISZ",
"first_name": "ALEXANDER",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-02",
"last_updated": "2017-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.