Alyssa Malvinni, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019017049 Issued in VA

Practice address

1421 Kempsville Rd Ste C
Chesapeake, VA 23320-1406

Phone

(757) 410-5322

Fax

(757) 548-0670

NPI assigned

Jan 14, 2020

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

Other names 1

• Alyssa Taylor Other name

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1164062584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 KEMPSVILLE RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201406",
            "telephone_number": "757-410-5322",
            "fax_number": "757-548-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 KEMPSVILLE RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201406",
            "telephone_number": "757-410-5322",
            "fax_number": "757-548-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVINNI",
        "first_name": "ALYSSA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019017049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "TAYLOR",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Malicek
• Fouad Malki, DDS
• Shahauna Latia Mallery, PMHNP-BC
• Ross A. Malley, MD
• Tiara Mallory, RBT
• Cristie Tamar Mangrum
• Rhonda Spring Mangrum, M.D.
• Jose Mangual III
• Leia Manibusan
• Janiah Jada Manley, CCC-SLP

• Massage Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.