Alisha Puckett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2083566 Issued in TX

Practice address

411 Alabama Ave
League City, TX 77573-2615

Phone

(281) 332-9588

NPI assigned

Sep 5, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1821570953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ALABAMA AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ALABAMA AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732615",
            "telephone_number": "281-332-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "ALISHA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2083566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Propsych PLLC
• Travis William Prothro, DC
• Zelma Sue Pruitt-Willke, L.C.D.C.
• Kimberly Pruitt
• Psychology Resources, PC
• Jade Isis Puckett, PT
• Ashley Pugh, DPT
• Eugene John Pugh, M.A., BCBA
• Julie Lynne Pugh
• Christopher J. Pulido, D.C.

• Physical Therapy Assistant in League City, TX
• Providers in League City, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.