Alyssa Nicole Lancaster, PT
Individual provider Active NPI Physical Therapist · Harper, KS
NPI 1891103545 · NPPES record last updated Jul 25, 2014
Key facts
- NPI
- 1891103545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-04909 (KS)
- Practice address
- 700 W 13TH St
Harper, KS 67058-1401 - Phone
- (620) 896-7324
- NPI assigned
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04909 | KS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04909 | KS | Yes |
Addresses
Primary practice location
700 W 13TH St
Harper, KS 67058-1401
Mailing address
1755 Wittington PL
Suite 175
Dallas, TX 75234-1927
Phone (866) 221-5405
Other names
- Mrs. Alyssa Davidson
Other providers in Harper, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.