Alicia Allie, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9436 Issued in AZ

Practice address

3988 E Fort Lowell Rd
Tucson, AZ 85712-1010

Phone

(520) 488-5291

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alicia Koepsel Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agility Spine and Sports Physical Therapy and Rehabilitation LP 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Agility Spine & Sports Physical Therapy and Rehabilitation LP

  • Physical Therapist
  • Tucson, AZ
  • NPI 1851823900

  AZ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sunbelt Medical Group LLC

  • Clinic/Center
  • Tucson, AZ
  • NPI 1104354752

  AZ, Physical Therapist

  Medicare reassignment NPD
• Agility Spine & Sports Physical Therapy and Rehabilitation LP

  • Physical Therapist
  • Oro Valley, AZ
  • NPI 1861219677
  Care Compare group NPD
• Agility Spine & Sports Physical Therapy and Rehabilitation LP

  • Physical Therapist
  • Tucson, AZ
  • NPI 1780401588
  Care Compare group
• Agility Spine & Sports Physical Therapy and Rehabilitation LP

  • Physical Therapist
  • Sierra Vista, AZ
  • NPI 1376438911
  NPD
• Sunbelt Medical Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1568213700
  NPD

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1811275340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD STE 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274",
            "fax_number": "520-509-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121010",
            "telephone_number": "520-488-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 E Paradise Falls Dr",
            "address_2": "Ste 109",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126683",
            "country_code": "US",
            "telephone_number": "520-321-0204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6264 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857125882",
            "country_code": "US",
            "telephone_number": "520-884-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10445 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857379358",
            "country_code": "US",
            "telephone_number": "520-884-0001",
            "fax_number": "520-689-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLIE",
        "first_name": "ALICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693096",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sol-pt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3988 E Fort Lowell Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857121010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "KOEPSEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Tucson, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.