Individual provider Active NPI

Alyssa Mae Franzen, D.P.T.

  • Physical Therapist
  • Ferndale, WA
National Provider Identifier
1184921363
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60600079 Issued in WA
Practice address
1740 Labounty Dr
Suite 7
Ferndale, WA 98248-9403
Phone
(360) 384-5111
Fax
(360) 384-0006
NPI assigned
Feb 23, 2011
Last updated
Dec 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19426 MA
Physical Therapist 225100000X PT60600079 WA Primary

Addresses

Primary practice location

1740 Labounty Dr
Suite 7
Ferndale, WA 98248-9403

Mailing address

8862 Bender Rd
Suite 101
Lynden, WA 98264-8800
Phone (360) 354-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111000161 WA Practitioner - Physical Therapist in Private Practice 9234367368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momenta Health PLLCGroup PAC ID 9739511981, 6 clinicians

Practice addresses (Care Compare)

1756 Iowa St
Bellingham, WA 98229-4702
Phone (360) 207-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Momenta Health PLLC Physical Therapist CurrentSince Jul 7, 2024 Accepting new patients
Adich Clinic, P.S. PastSince Jul 7, 2024 Accepting new patients

Locations

1704 N State St
Bellingham, WA 98225
Phone (360) 207-4488

1756 Iowa St
Bellingham, WA 98229
Phone (360) 207-4488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1184921363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD",
            "address_2": "SUITE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 LABOUNTY DR",
            "address_2": "SUITE 7",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489403",
            "telephone_number": "360-384-5111",
            "fax_number": "360-384-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANZEN",
        "first_name": "ALYSSA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19426",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60600079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.