Individual provider Active NPI

Alysia R Newman, P.T.

  • Physical Therapist
  • Hazlehurst, MS
National Provider Identifier
1104149475
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3038 Issued in MS
Practice address
236 Caldwell Dr
Hazlehurst, MS 39083-2723
Phone
(601) 894-9004
Fax
(601) 894-3004
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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 PT3038 MS Primary

Addresses

Primary practice location

236 Caldwell Dr
Hazlehurst, MS 39083-2723

Mailing address

2015 Highpointe Dr
Brandon, MS 39272-8974
Phone (888) 976-2667

Other names 1

  • Alysia R Parker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000840 MS Practitioner - Physical Therapist in Private Practice 7810162765 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
2083 Therapy, LLC CurrentSince Apr 27, 2020 Accepting new patients
2083 Therapy, LLC Physical Therapist Current Accepting new patients
2083 Therapy, LLC CurrentSince Apr 27, 2020 Accepting new patients
Therapy South - Gluckstadt LLC Physical Therapist CurrentSince Oct 22, 2019 Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients
Medicomp, Inc Physical Therapist Past Accepting new patients

Locations

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

710 Main St
Collins, MS 39428
Phone (601) 340-6872

1151 Highway 35 S
Forest, MS 39074
Phone (601) 469-2732

236 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 894-9004

1716 Highway 51
Ste N
Madison, MS 39110
Phone (601) 499-5780

357 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2734

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1104149475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HIGHPOINTE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "392728974",
            "telephone_number": "888-976-2667",
            "fax_number": "601-824-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832723",
            "telephone_number": "601-894-9004",
            "fax_number": "601-894-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ALYSIA",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "PARKER",
            "middle_name": "R",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazlehurst, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.