Active NPI
Alyssa Faith Eisenhart, PTA
- Pediatric Rehabilitation Medicine Physician
- Hagerstown, MD
National Provider Identifier
1144947748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- A5582
- Practice address
- 1045 Maryland Ave
Hagerstown, MD 21740-7201 - Phone
- (301) 739-5437
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | A5582 | MD | Primary |
Addresses
Primary practice location
1045 Maryland Ave
Hagerstown, MD 21740-7201
Mailing address
1373 Lindsay LN
Hagerstown, MD 21742-4615
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | info@pmchag.com | ||
| SOAP URL | info@pmchag.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5582 | MD | MD | Pediatric Rehabilitation Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1144947748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1373 LINDSAY LN",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217424615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 MARYLAND AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217407201",
"telephone_number": "301-739-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENHART",
"first_name": "ALYSSA",
"middle_name": "FAITH",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "MD",
"license": "A5582",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "info@pmchag.com",
"affiliation": "N",
"address_1": "1045 Maryland Ave",
"city": "Hagerstown",
"state": "MD",
"country_code": "US",
"postal_code": "217407201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "info@pmchag.com",
"affiliation": "N",
"endpointDescription": "Buissness email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1045 Maryland Ave",
"city": "Hagerstown",
"state": "MD",
"country_code": "US",
"postal_code": "217407201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.