Individual provider Active NPI

Alyssa Ann Dejianne, PT, DPT

  • Physical Therapist
  • South Plainfield, NJ
National Provider Identifier
1083514806
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02456600 Issued in NJ
Practice address
904 Oak Tree Ave Ste S
South Plainfield, NJ 07080-5126
Phone
(908) 756-6555
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 40QA02456600 NJ Primary

Addresses

Primary practice location

904 Oak Tree Ave Ste S
South Plainfield, NJ 07080-5126

Mailing address

904 Oak Tree Ave Ste S
South Plainfield, NJ 07080-5126
Phone (908) 756-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1083514806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE STE S",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805126",
            "telephone_number": "908-756-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE STE S",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805126",
            "telephone_number": "908-756-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJIANNE",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02456600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.