Active NPI
Alyssa Unteriner
- Physical Therapist
- La Crosse, WI
National Provider Identifier
1164902052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14438-24
- Practice address
- 1500 Green Bay St
La Crosse, WI 54601-6455 - Phone
- (608) 784-8125
- NPI assigned
- Aug 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2020007690 | MO | |
| Physical Therapist | 225100000X | 14438-24 | WI | Primary |
Addresses
Primary practice location
1500 Green Bay St
La Crosse, WI 54601-6455
Mailing address
4328 Maryland Ave Apt 3
Saint Louis, MO 63108-2776
Phone (906) 361-9918
Other practice location 1
1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402
Phone (262) 886-3431
Other practice location 2
4400 Clayton Ave
Saint Louis, MO 63110-1624
Phone (314) 432-3600
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 |
|---|---|---|---|
| 2020007690 | MO | MD | Physical Therapist |
| 14438-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1164902052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 MARYLAND AVE APT 3",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082776",
"telephone_number": "906-361-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 GREEN BAY ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546016455",
"telephone_number": "608-784-8125"
}
],
"practiceLocations": [
{
"address_1": "1320 S Green Bay Rd",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "WI",
"postal_code": "534064402",
"country_code": "US",
"telephone_number": "262-886-3431",
"fax_number": "262-886-3954",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 Clayton Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101624",
"country_code": "US",
"telephone_number": "314-432-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNTERINER",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2020007690",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14438-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.