Active NPI
Alicia S Tykol, PTA
- Physical Therapy Assistant
- Lufkin, TX
National Provider Identifier
1871129387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2071716
- Practice address
- 2604 Hwy 69 N
Lufkin, TX 75904-1060 - Phone
- (936) 899-7235
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2071716 | TX | Primary |
Addresses
Primary practice location
2604 Hwy 69 N
Lufkin, TX 75904-1060
Mailing address
558 County Road 170
Jasper, TX 75951-8346
Phone (409) 381-0810
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 |
|---|---|---|---|
| 2071716 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Therapy Intervention | Physical Therapy Assistant | Current | Accepting new patients |
Locations
2604 US Highway 69 N
Lufkin, TX 75904
Phone (936) 899-7235
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": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1871129387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 COUNTY ROAD 170",
"city": "JASPER",
"state": "TX",
"postal_code": "759518346",
"telephone_number": "409-381-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 HWY 69 N",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759041060",
"telephone_number": "936-899-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYKOL",
"first_name": "ALICIA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2071716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.