Alyssa Allen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17703 Issued in NC

Practice address

114 S Tryon St
Charlotte, NC 28202-2149

Phone

(980) 729-5400

Fax

(704) 632-3998

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1164923819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DICKERSON BLVD STE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102884",
            "telephone_number": "704-283-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022149",
            "telephone_number": "980-729-5400",
            "fax_number": "704-632-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ALYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "17703",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT PROFESSIONALLICENSE",
            "identifier": "P17703",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All You Need in Care
• John Raymond Allbert, MD
• Allcare Medical Center,PC
• Allen Melvin MD PA
• Abigail Dickey Allen, NP
• Amber Brittany Marie Allen, RD
• Anastasia Angela Allen, N.P.
• Annamarie Natasha Allen, PA
• Austin James Allen, MD
• Brooke Nichole Allen

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.