Active NPI
Alisha Mo Tenbus, PT
- Specialist
- Gillett, PA
National Provider Identifier
1952549313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 019987-1
- Practice address
- 218 Andrus LN
Gillett, PA 16925-9244 - Phone
- (570) 596-7644
- NPI assigned
- Jan 22, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 019987-1 | NY | Primary |
| Specialist | 174400000X | PT016588 | PA |
Addresses
Primary practice location
218 Andrus LN
Gillett, PA 16925-9244
Mailing address
218 Andrus LN
Gillett, PA 16925-9244
Phone (570) 596-7644
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 |
|---|---|---|---|
| 019987-1 | NY | MD | Specialist |
| PT016588 | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1952549313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 ANDRUS LN",
"city": "GILLETT",
"state": "PA",
"postal_code": "169259244",
"telephone_number": "570-596-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 ANDRUS LN",
"city": "GILLETT",
"state": "PA",
"postal_code": "169259244",
"telephone_number": "570-596-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENBUS",
"first_name": "ALISHA",
"middle_name": "MO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "019987-1",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "PT016588",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.