Active NPI
Alyse Hausman, PT, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1174278923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3901 University Blvd S
Jacksonville, FL 32216-4312 - Phone
- (904) 345-7251
- NPI assigned
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2025-0022 | NM | |
| Neurology Physical Therapist | 2251N0400X | PT-2025-0022 | NM | |
| Neurology Physical Therapist | 2251N0400X | PT37330 | FL | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3901 University Blvd S
Jacksonville, FL 32216-4312
Mailing address
5233 Heathwood Gable Ter
Jacksonville, FL 32257-3779
Phone (561) 847-5740
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CONNEX | Direct |
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 |
|---|---|---|---|
| PT37330 | FL | MD | Neurology Physical Therapist |
| PT-2025-0022 | NM | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1174278923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5233 HEATHWOOD GABLE TER",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322573779",
"telephone_number": "561-847-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164312",
"telephone_number": "904-345-7251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSMAN",
"first_name": "ALYSE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2025-0022",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NM",
"license": "PT-2025-0022",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "FL",
"license": "PT37330",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CONNEX",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3901 University Blvd S",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322164312",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.