ALICIA HADLEY (NPI# 1184681504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184681504 |
| Entity Type | Individual |
| Full Name | ALICIA HADLEY |
| Credential | DPT |
| Practice Address |
4010 Brandywine Dr Jonesboro AR 72404-0720 |
| Practice Telephone | 8705303693 |
| Practice Fax Number | 8709339293 |
| Mailing Telephone | 8705303693 |
| Mailing Fax Number | 8709339293 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | PT2722 | AR | Other Service Providers |
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT2722 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUECROSS PROVIDER # | 5X844 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836539 | Alicia Hadley | Occupational Therapist | 7222 Sycamore Ave, Kansas City, MO 64133-6265 | 2020-06-19 |
| Street Address |
4010 BRANDYWINE DR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-0720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227876 | Shirley Ann Morton | Specialist | 188 North Ave, Jonesboro, GA 30236-3215 | 2016-11-03 |
| 1306286323 | Eric Chandler Treadway | Specialist | 1699 Stadium Blvd, Suite H, Jonesboro, AR 72401 | 2013-07-05 |
| 1679819312 | Ethel L High | Specialist | 9285 Carnes Estates Dr, Jonesboro, GA 30236-6275 | 2012-12-28 |
| 1538438254 | Chenell Denise Williams | Specialist | 308 Wilburn St, Jonesboro, GA 30236-3637 | 2011-12-26 |
| 1134406341 | Ashley Brooke Thrasher | Specialist | 2105 E Aggie Rd, Arkansas State University-hpess, Jonesboro, AR 72401 | 2011-11-16 |
| 1679856967 | Amy Forester | Specialist | 806 Glendale, Jonesboro, AR 72401 | 2011-09-22 |
| 1891000550 | Sunil Gera M.d.p.a. | Specialist | 2601 Southwest Sq, Jonesboro, AR 72401-5969 | 2010-08-18 |
| 1922338292 | Nataki Burke | Specialist | 10305 Misty Ridge Dr, Jonesboro, GA 30238-8027 | 2010-01-07 |
| 1215176466 | Visa Lahang Avance | Specialist | 1656 W Matthews Ave Apt 5, Jonesboro, AR 72401-3311 | 2009-02-11 |
| 1538297395 | Michael Devon Brown | Specialist | 1710 Battlecreek Village Dr, Jonesboro, GA 30236-8527 | 2007-03-01 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.