Individual provider Active NPI

Alyssa Leigh Williams, PT

  • Physical Therapist
  • Fort Bragg, NC
National Provider Identifier
1083224174
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19633 Issued in NC
Practice address
2817 Reilly St
Fort Bragg, NC 28310
Phone
(910) 907-6000
NPI assigned
Aug 4, 2020
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 P19633 NC Primary

Addresses

Primary practice location

2817 Reilly St
Fort Bragg, NC 28310

Mailing address

2817 Reilly St
Fort Bragg, NC 28310-7324
Phone (109) 076-0009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819003445 NC Practitioner - Physical Therapist in Private Practice 4183040256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Medical Group, LLCGroup PAC ID 3678478054, 47 clinicians

Practice addresses (Care Compare)

1310 E Broad St
Suite 1
Fuquay Varina, NC 27526-1965
Phone (833) 493-4325

27 Doctors Dr
Hendersonville, NC 28792-7209
Phone (828) 687-3800

3711 Battleground Ave
Greensboro, NC 27410-2345
Phone (833) 493-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19633NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Incorporated Physical Therapist CurrentSince Jan 31, 2024 Accepting new patients
American Healthcare Systems, LLC Current Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 1, 2021 Accepting new patients
American Healthcare Systems, LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Forsyth Medical Group LLC CurrentSince May 5, 2025 Accepting new patients
Forsyth Medical Group, LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients

Locations

124 N Park St
Asheboro, NC 27203
Phone (336) 625-1007

191 NC Highway 42 N
Ste B
Asheboro, NC 27203
Phone (336) 629-6397

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

503 N Fayetteville St
Asheboro, NC 27203
Phone (336) 626-2688

5860 Yadkin Rd
Fayetteville, NC 28303
Phone (910) 401-9210

27 Doctors Dr
Hendersonvlle, NC 28792
Phone (828) 687-3800

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1083224174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "109-076-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALYSSA",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.