ALICIA MARIE SHOUP (NPI# 1760865125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760865125 |
| Entity Type | Individual |
| Full Name | ALICIA MARIE SHOUP |
| Other Name | ALICIA MARIE KURTZ |
| Credential | PT |
| Practice Address |
10165 E Hampton Ave Mesa AZ 85209-3327 |
| Practice Telephone | 4803545424 |
| Mailing Telephone | 4803545424 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | DAPT000189 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT007130L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11544PT | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10165 E HAMPTON AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487739199 | Gavin Erik Baugh | Physical Therapist | 10165 E Hampton Ave, Ste 111, Mesa, AZ 85209-3327 | 2006-10-25 |
| 1982783403 | Physiotherapy Associates Inc | Clinic/Center | 10165 E Hampton Ave, Suite 111, Mesa, AZ 85209-3327 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880856 | Adrienne Yamamoto | Physical Therapist | 2500 S Power Rd Ste 126, Mesa, AZ 85209-6688 | 2017-09-18 |
| 1083000129 | Nadine Gibson | Physical Therapist | 6824 E Brown Rd, Suite 102, Mesa, AZ 85207-3705 | 2015-04-15 |
| 1942559547 | Garret William Bruno | Physical Therapist | 1450 S Dobson Rd Ste A302, Mesa, AZ 85202-4746 | 2012-08-29 |
| 1407104375 | Andrew C Jarzabek | Physical Therapist | 1959 S Val Vista Dr Ste 106, Mesa, AZ 85204-7357 | 2012-08-26 |
| 1700166154 | Elis Raquel Conejo | Physical Therapist | 6553 E. Baywood, Suite 205, Mesa, AZ 85206 | 2011-08-17 |
| 1871774588 | Lianne Ka'uilani Rogers | Physical Therapist | 2217 W Keating Ave, Mesa, AZ 85202-7321 | 2007-11-21 |
| 1366452856 | R Samuel Anderson | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2006-08-08 |
| 1407848088 | Fred Edward Treece | Physical Therapist | 1345 E Mckellips Rd, 101, Mesa, AZ 85203-2721 | 2005-08-18 |
| 1578567129 | Marc Wayne Moore | Physical Therapist | 2500 S Power Rd, Ste 123, Mesa, AZ 85209-6686 | 2005-06-10 |
| 1205320207 | Brian Keith Infiesto | Physical Therapist | 1440 S Country Club Dr, Mesa, AZ 85210-9701 | 2018-06-22 |
| Find all providers in MESA | ||||
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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.