NPI 1831254820 · live from the CMS NPI Registry
Alan Anthony Barichievich, MS, PT
Physical Therapist in South Lake Tahoe, CA. National Provider Identifier 1831254820, active.
NPI record
| NPI | 1831254820 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2170 South Ave, South Lake Tahoe, CA 96150 |
| Practice phone | 530-543-5896 |
| Mailing address | Po Box 9578, South Lake Tahoe, CA 96158 |
| Enumerated | December 27, 2006 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 1380 (NV) |
| Physical Therapist primary | 225100000X | 24504 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.