Active NPI
Alissa Foote, PT
- Physical Therapist
- Clemmons, NC
National Provider Identifier
1184031098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17743
- Practice address
- 7144 Village Medical Cir
Clemmons, NC 27012-8004 - Phone
- (336) 893-2460
- NPI assigned
- Jul 14, 2014
- Last updated
- Feb 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Physical Therapist | 225100000X | P17743 | NC | Primary |
Addresses
Primary practice location
7144 Village Medical Cir
Clemmons, NC 27012-8004
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | afoote541617@direct.novanthealth.org |
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 |
|---|---|---|---|
| P17743 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Health Systems LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Rehabilitation Center
- Physical Therapy Clinic/Center
- Winston Salem, NC
- NPI 1205894029
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1184031098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7144 VILLAGE MEDICAL CIR",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128004",
"telephone_number": "336-893-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOTE",
"first_name": "ALISSA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17743",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "afoote541617@direct.novanthealth.org",
"affiliation": "N",
"address_1": "7144 Village Medical Cir",
"city": "Clemmons",
"state": "NC",
"country_code": "US",
"postal_code": "270128004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clemmons, NC
- Bridget Blais Florack, MD
- James Arthur Florack, MD
- Genesis Gisselle Flores Garcia, PARAMEDIC
- Toinette Fontrier, M.D.
- Food Hut Unlimited (Fortune Society)
- Forsyth Memorial Hospital (Novant Health Village Point Family Medicine)
- Forsyth Memorial Hospital Inc (Novant Health Osteoporosis Clinic)
- Forsyth Memorial Hospital Inc (Novant Health Clemmons Family Medicine)
- Forsyth Memorial Hospital, Inc (Novant Health Cardiology Clemmons)
- Forsyth Memorial Hospital, Inc (West Forsyth Internal Medicine & Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.