Active NPI
Erick J. Alverio, P.T.
- Physical Therapist
- Council Bluffs, IA
National Provider Identifier
1790960193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 857
- Practice address
- 122 Gunn Ave
Council Bluffs, IA 51503-0451 - Phone
- (712) 323-5555
- NPI assigned
- Jan 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294 | NE | |
| Physical Therapist | 225100000X | 857 | IA | Primary |
Addresses
Primary practice location
122 Gunn Ave
Council Bluffs, IA 51503-0451
Mailing address
122 Gunn Ave
Council Bluffs, IA 51503-0451
Phone (712) 323-5555
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 857 | IA | MD | Physical Therapist |
| 294 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1790960193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 GUNN AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030451",
"telephone_number": "712-323-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 GUNN AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030451",
"telephone_number": "712-323-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVERIO",
"first_name": "ERICK",
"middle_name": "J.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "294",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.