Alicia Ann Ables, PTA

Key facts

NPI

1831781152

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

61094424 (WA)

Practice address

319 Washington Ave S
Kent, WA 98032-5767

Phone

(253) 850-6445

NPI assigned

Feb 8, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2021.

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1831781152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325767",
            "telephone_number": "253-850-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325767",
            "telephone_number": "253-850-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLES",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61094424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Kent, WA · Physical Therapy Assistant in Washington