Momumental Physical Therapy & Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOMUMENTAL PHYSICAL THERAPY & PERFORMANCE, LLC

Practice address

102 Mary Alice Park Rd Ste 601
Cumming, GA 30040-2713

Phone

(470) 239-0132

NPI assigned

Oct 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Alyssa Varsalona Rives, PT, DPT, CSCSNPI 1689348484

Title

Physical Therapist

Phone

(404) 839-1416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Rives, PT, DPT

  • Physical Therapist
  • Cumming, GA
  • NPI 1689348484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1265300552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 WESTGATE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARY ALICE PARK RD STE 601",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402713",
            "telephone_number": "470-239-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMUMENTAL PHYSICAL THERAPY & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "RIVES",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "VARSALONA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "404-839-1416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mohr
• Jacob Youngtaik Mok, MD
• Szymon Moldenhawer, P.T.
• Manuela Molina-Palacio, BS
• Sohel Momin, MD
• Madison A Mondry, DMD
• Lydia Azeala Monk, DDS
• Shelly Elaine Montes, D.D.S
• Gerald E. Moody, MD
• Kara Keel Moody, D.M.D.

• Physical Therapy Clinic/Center in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.