Active NPI
Alika Mark Antone, PT
- Physical Therapist
- Tacoma, WA
National Provider Identifier
1861597338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9929
- Practice address
- 3819 6TH Ave
Tacoma, WA 98406-4903 - Phone
- (253) 844-4137
- Fax
- (253) 844-4138
- NPI assigned
- Sep 13, 2006
- 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 | PT9929 | WA | Primary |
Addresses
Primary practice location
3819 6TH Ave
Tacoma, WA 98406-4903
Mailing address
3819 6TH Ave
Tacoma, WA 98406-4903
Phone (253) 844-4137
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201484 | Other | WA | LABOR & INDUSTRIES |
| 8438012 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3819 6TH Ave
Tacoma, WA 98406-4903
Phone (253) 844-4137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9929 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A2 Therapies | Physical Therapist | Current | Accepting new patients |
Locations
4904 Point Fosdick Dr
Gig Harbor, WA 98335
Phone (253) 844-4137
3819 6th Ave
Tacoma, WA 98406
Phone (253) 307-9770
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1861597338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3819 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064903",
"telephone_number": "253-844-4137",
"fax_number": "253-844-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3819 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064903",
"telephone_number": "253-844-4137",
"fax_number": "253-844-4138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONE",
"first_name": "ALIKA",
"middle_name": "MARK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT9929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "201484",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8438012",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.