Active NPI
Alyssa Meverden
- Physical Therapist
- Evanston, IL
National Provider Identifier
1275426017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.029101
- Practice address
- 2536 Ewing Ave
Evanston, IL 60201-1214 - Phone
- (847) 905-0332
- NPI assigned
- May 30, 2025
- 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 | 070.029101 | IL | Primary |
Addresses
Primary practice location
2536 Ewing Ave
Evanston, IL 60201-1214
Mailing address
349 S Old Rand Rd
Lake Zurich, IL 60047-2429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250613001939 | IL | Practitioner - Physical Therapist in Private Practice | 0547771917 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports and Ortho PC
Practice addresses (Care Compare)
2536 Ewing Ave
Evanston, IL 60201-1214
Phone (847) 905-0332
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.029101 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Ortho P.C | Current | Accepting new patients |
Locations
412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119
2536 Ewing Ave
Evanston, IL 60201
Phone (847) 905-0332
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": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1275426017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 S OLD RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 EWING AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011214",
"telephone_number": "847-905-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEVERDEN",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.029101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.