Individual provider Active NPI

Alyssa Smith

  • Physical Therapist
  • Weldon, NC
National Provider Identifier
1033765599
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19015 Issued in NC
Practice address
301 Mulberry St
Weldon, NC 27890-1431
Phone
(919) 280-4325
NPI assigned
Aug 12, 2019
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19015 NC Primary

Addresses

Primary practice location

301 Mulberry St
Weldon, NC 27890-1431

Mailing address

20 Canterbury Dr
Franklinton, NC 27525-9113
Phone (919) 280-4325

Other practice location 1

175 Mayfield Dr
Boydton, VA 23917-2817
Phone (919) 280-4325

Other practice location 2

701 N Church St
Jackson, NC 27845-9773
Phone (919) 280-4325

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19015NCMDInternal Medicine Physician
P19015NCMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1033765599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CANTERBURY DR",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275259113",
            "telephone_number": "919-280-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MULBERRY ST",
            "city": "WELDON",
            "state": "NC",
            "postal_code": "278901431",
            "telephone_number": "919-280-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Mayfield Dr",
            "address_purpose": "LOCATION",
            "city": "Boydton",
            "state": "VA",
            "postal_code": "239172817",
            "country_code": "US",
            "telephone_number": "919-280-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Church St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NC",
            "postal_code": "278459773",
            "country_code": "US",
            "telephone_number": "919-280-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.