Individual provider Active NPI

Alisa M Wasserman, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1124061916
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5378 Issued in AZ
Practice address
725 W Elliot Rd
Suite #115
Gilbert, AZ 85233-5301
Phone
(480) 545-0000
Fax
(480) 545-7615
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5378 AZ Primary

Addresses

Primary practice location

725 W Elliot Rd
Suite #115
Gilbert, AZ 85233-5301

Mailing address

725 W Elliot Rd
Suite #115
Gilbert, AZ 85233-5301
Phone (480) 545-0000

Other identifiers 2

IdentifierTypeStateIssuer
AZ0241140OtherAZBLUE CROSS BLUE SHIELD AZ
496978OtherAZAHCCCS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001052 AZ Practitioner - Chiropractic 4284669292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilbert Physical Medicine LLCGroup PAC ID 2466697982, 5 clinicians

Practice addresses (Care Compare)

725 W Elliot Rd
Suite 115
Gilbert, AZ 85233-5301
Phone (480) 545-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Physical Medicine LLC Chiropractor CurrentSince Feb 15, 2012 Accepting new patients
Gilbert Family Chiropractic PastSince Jan 1, 1990 Accepting new patients

Locations

725 W Elliot Rd
Ste 115
Gilbert, AZ 85233
Phone (480) 500-6251

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124061916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W ELLIOT RD",
            "address_2": "SUITE #115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335301",
            "telephone_number": "480-545-0000",
            "fax_number": "480-545-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ELLIOT RD",
            "address_2": "SUITE #115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335301",
            "telephone_number": "480-545-0000",
            "fax_number": "480-545-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "ALISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0241140",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "496978",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.