Active NPI
Alyssa Peluffo, DPT
- Orthopedic Physical Therapist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 12115579-2401
- Practice address
- 617 E Riverside Dr Ste 303
St George, UT 84790-8722 - Phone
- (435) 673-4303
- Fax
- (435) 673-4003
- NPI assigned
- Mar 3, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT291140 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 12115579-2401 | UT | Primary |
Addresses
Primary practice location
617 E Riverside Dr Ste 303
St George, UT 84790-8722
Mailing address
617 E Riverside Dr Ste 303
St George, UT 84790-8722
Phone (435) 673-4303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12115579-2401 | Other | UT | LICENSE |
| PT291140 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210920001661 | UT | Practitioner - Physical Therapist in Private Practice | 4587956248 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2192 W 100
Hurricane, UT 84737-1329
Phone (435) 767-0747
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.42 of 100
- Quality
- 45.41
- Improvement activities
- 40
- Cost
- 78.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT291140 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marchant Physical Therapy & Wellness, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
340 Falcon Ridge Pkwy
Bldg 500
Mesquite, NV 89027
Phone (435) 688-8991
1490 E Foremaster Dr
Ste 110
St George, UT 84790
Phone (435) 288-2242
617 E Riverside Dr
Ste 303
St George, UT 84790
Phone (435) 652-4455
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.
-
- Specialist
- Mesquite, NV
- NPI 1205838265
Physical Therapist, UT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1235599259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 E RIVERSIDE DR STE 303",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908722",
"telephone_number": "435-673-4303",
"fax_number": "435-673-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 E RIVERSIDE DR STE 303",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908722",
"telephone_number": "435-673-4303",
"fax_number": "435-673-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELUFFO",
"first_name": "ALYSSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT291140",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "12115579-2401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "12115579-2401",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT291140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.