Alyse Ann Widger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024250 Issued in PA

Practice address

455 Chestnut St
Meadville, PA 16335-4404

Phone

(814) 547-6510

Fax

(814) 547-6511

NPI assigned

Feb 2, 2012

Last updated

Aug 9, 2016By 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 2

Addresses

Other names 1

• Alyse Ann Parker Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Physical Therapy and Wellness LLCGroup PAC ID 9638590722, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.49 of 100Reported as group

Quality

98.19

Improvement activities

40

Cost

70.71

Medicare enrollment (NPD)

Enrolled

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.

• Lakeside Physical Therapy and Wellness LLC

  • Physical Therapist
  • Conneaut Lake, PA
  • NPI 1689212136
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1104198431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 CARMONT DR",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352822",
            "telephone_number": "814-671-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354404",
            "telephone_number": "814-547-6510",
            "fax_number": "814-547-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDGER",
        "first_name": "ALYSE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26514",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "PARKER",
            "middle_name": "ANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle K. White, MD
• Peter F. White, MD
• Mark B Whitney, MD
• Whole Health Joint Replacement Institute, LLC (Whole Health Orthopedic Institute)
• Whole Health Wellness Institute, PLLC
• Steven W Wilcoxon, LPC
• Samantha Wilfong, D.C.
• Monica Wilk-Weber
• Hugh S Wilkens, MD
• Brandon James Williams

• Physical Therapist in Meadville, PA
• Providers in Meadville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.