Alyssa Marie Serveiss, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070028554 Issued in IL

Practice address

5101 Willow Springs Rd
La Grange, IL 60525-2600

Phone

(708) 245-7900

NPI assigned

Aug 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1124851035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CHESTNUT ST APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103285",
            "telephone_number": "571-455-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-245-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVEISS",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark John Sedory, D.P.M.
• Sensational Therapy
• Kathleen Therese Serafin, M.ED., BCBA
• Kathleen Megumi Serikaku, OTR/L
• Jazmin De Maria Serna, DMD
• Alap Pradip Shah, M.D.
• Aneri Nitish Shah, DO
• Raju Kirtikumar Shah, MD
• Hooman Shams, DO
• Elham Yahya Sharaf -Eldeen, DMD

• All providers in La Grange, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.