Alyssa Kaylee Pellmann, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2021006238 Issued in MO

Practice address

101 United Dr Ste 100
Collinsville, IL 62234-7428

Phone

(618) 343-1122

Fax

(618) 343-1444

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Collinsville Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Collinsville, IL
  • NPI 1205033081
  NPD
• SSM Select Rehab St. Louis, LLC

  dba SSM Physical Therapy

  • Rehabilitation Practitioner
  • Breese, IL
  • NPI 1740166347
  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1205420874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WHEAT RIDGE LN",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622601259",
            "telephone_number": "618-795-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UNITED DR STE 100",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347428",
            "telephone_number": "618-343-1122",
            "fax_number": "618-343-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLMANN",
        "first_name": "ALYSSA",
        "middle_name": "KAYLEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021006238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R. Parsons, D.O.
• Dina Payne, MSW, LCSW
• PC Associates, LLC
• PC Associates, LLC
• Elizabeth Lynne Peel, MA, CCC-SLP
• Rebecca Kathryn Phelps, CPNP
• Phillips Investments, LLC - Collinsville Operations Series
• James Phillips, MSW LSW
• Rachelle Irene Phillips, DMD
• Rylee Nicole Pickett

• Physical Therapist in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Physical Therapist in Illinois

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

Verify at the official NPI Registry.