Alyssa Leanne Subbert, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

02888 Issued in IA

Practice address

205 NE Dartmoor Drive
Waukee, IA 50263

Phone

(515) 987-6267

Fax

(515) 987-6269

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absolute Performance Therapy, PCGroup PAC ID 7911909908, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Absolute Performance Therapy, PC

  • Physical Medicine & Rehabilitation Physician
  • Waukee, IA
  • NPI 1902971898
  Medicare reassignment Care Compare group NPD Authorized official
• Eastern Iowa Therapeutics PC

  • Physical Therapist
  • Chicago, IL
  • NPI 1023064144
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245303015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 DOLAN DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111028",
            "telephone_number": "515-778-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NE DARTMOOR DRIVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "50263",
            "telephone_number": "515-987-6267",
            "fax_number": "515-987-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBERT",
        "first_name": "ALYSSA",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "02888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "(0) 449579",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geofrey Ssali
• Leanne Rae Steensen, LPN
• Tonya Shirrell Stewart, ARNP
• Skyller Stickfort, DC
• Alexandra Lucille Stork, PT
• Mindy Sullivan-Lo, DPT
• Sunset Hills Assisted Living
• Matthew Alan Sutton, MD
• Daniel Sweet, PT
• Heather Nicole Talley, M.D.

• Physical Medicine & Rehabilitation Physician in Waukee, IA
• Providers in Waukee, IA by specialty
• Physical Medicine & Rehabilitation Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.