Active NPI
Alyssa Nicole Holzappel, DPT
- Physical Therapist
- Princeton, IN
National Provider Identifier
1215465463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012444A
- Practice address
- 220 N Hart St
Princeton, IN 47670-1534 - Phone
- (812) 635-0600
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05012444A | IN | Primary |
Addresses
Primary practice location
220 N Hart St
Princeton, IN 47670-1534
Mailing address
220 N Hart St
Princeton, IN 47670-1534
Phone (812) 635-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170808003211 | IN | Practitioner - Physical Therapist in Private Practice | 2365713468 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 E Broadway St
Princeton, IN 47670-1850
Phone (812) 635-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012444A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3C Therapy & Wellness | Physical Therapist | Current | Accepting new patients |
Locations
210 E Broadway St
Princeton, IN 47670
Phone (812) 635-0600
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1215465463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N HART ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701534",
"telephone_number": "812-635-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N HART ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701534",
"telephone_number": "812-635-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZAPPEL",
"first_name": "ALYSSA",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012444A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.