Alyssa G. Glover, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09573 Issued in LA

Practice address

3630 Front St
Winnsboro, LA 71295-2224

Phone

(318) 367-0604

Fax

(318) 367-2678

NPI assigned

Apr 17, 2018

Last updated

Oct 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alyssa Welch Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Little Occupational Therapy Service LLC

  • Occupational Therapist
  • Winnsboro, LA
  • NPI 1063031136
  Medicare reassignment NPD
• Geaux Fit of la LLC

  • Physical Therapist
  • Winnsboro, LA
  • NPI 1326564311
  Medicare reassignment

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1093202970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 FRONT ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952224",
            "telephone_number": "318-367-0604",
            "fax_number": "318-367-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 FRONT ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952224",
            "telephone_number": "318-367-0604",
            "fax_number": "318-367-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "ALYSSA",
        "middle_name": "G.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "09573",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "WELCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Gable, MS
• Cynthia Gahagan
• Geaux Fit of la LLC
• William E Gill, PHARM.D
• Amy Glenn
• John Quitman Gowan, LCSW
• Darcy Kavalir Graham
• Morgan Graham
• Broderick Grant
• Carla Grant, M. A.

• Physical Therapist in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.