Alyssa Zuccala, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-013991 Issued in AZ

Practice address

3782 Highway 95 Ste 2
Bullhead City, AZ 86442-8124

Phone

(928) 763-0807

Fax

(928) 763-0827

NPI assigned

Sep 27, 2019

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

Practice roles

Locations

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.

• Willmore Wellness Center LLC

  • Physical Therapist
  • Bullhead City, AZ
  • NPI 1689861064
  NPD
• Las Fyzical LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1215361688
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1164073359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PLAZA GRANADA",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 HIGHWAY 95 STE 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428124",
            "telephone_number": "928-763-0807",
            "fax_number": "928-763-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCALA",
        "first_name": "ALYSSA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-013991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waheed H Zehri, MD
• Leeroy Levi Zhang, PA-C
• John Ralph Zimbaro Jr., D.D.S.
• Adrian Zitzmann
• Susan Zook, FNP-C

• Physical Therapy Assistant in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.