Active NPI
Alyssa Mary Peters, DPT
- Physical Therapist
- Tawas City, MI
National Provider Identifier
1295238319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017972
- Practice address
- 110 Beech Street
Tawas City, MI 48763-0659 - Phone
- (989) 362-0195
- Fax
- (989) 362-9208
- NPI assigned
- Mar 15, 2018
- 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 | 5501017972 | MI | Primary |
Addresses
Primary practice location
110 Beech Street
Tawas City, MI 48763-0659
Mailing address
110 Beech St
Tawas City, MI 48763-8314
Phone (989) 362-0195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017972 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1295238319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BEECH ST",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "487638314",
"telephone_number": "989-362-0195",
"fax_number": "989-362-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BEECH STREET",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "487630659",
"telephone_number": "989-362-0195",
"fax_number": "989-362-9208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ALYSSA",
"middle_name": "MARY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tawas City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.