Individual provider Active NPI

Alissa Lynn Namm, DPT

  • Specialist
  • Cranford, NJ
National Provider Identifier
1043541311
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
032102 Issued in NY
Practice address
29 Alden St Ste 1a
Cranford, NJ 07016-2156
Phone
(646) 841-1414
Fax
(212) 379-2122
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 032102 NY Primary

Addresses

Primary practice location

29 Alden St Ste 1a
Cranford, NJ 07016-2156

Mailing address

1044 Harding St
Westfield, NJ 07090-1218
Phone (973) 420-5148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200814002607 NJ Practitioner - Physical Therapist in Private Practice 9335319821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keating Physical Therapy LLCGroup PAC ID 6002128733, 4 clinicians

Practice addresses (Care Compare)

29 Alden St
Suite 1a
Cranford, NJ 07016-2156
Phone (908) 276-0294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1043541311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 HARDING ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901218",
            "telephone_number": "973-420-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ALDEN ST STE 1A",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162156",
            "telephone_number": "646-841-1414",
            "fax_number": "212-379-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMM",
        "first_name": "ALISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "032102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.