Individual provider Active NPI

Allyssa Chamberlain

  • Physical Therapist
  • Newtown, PA
National Provider Identifier
1306205273
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024961 Issued in PA
Practice address
770 Newtown Yardley Rd
Suite 210
Newtown, PA 18940-4501
Phone
(215) 860-7031
Fax
(215) 860-5704
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024961 PA Primary

Addresses

Primary practice location

770 Newtown Yardley Rd
Suite 210
Newtown, PA 18940-4501

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029000538 MA Practitioner - Physical Therapist in Private Practice 3678879293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

10 Longwood Dr
Westwood, MA 02090-1123
Phone (781) 326-9402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maximize Your Mobility LLC Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Newtown Physical Therapy & Rehabilitation, Inc. PastSince Dec 22, 2005 Accepting new patients

Locations

292 Newbury St
Ste 317
Boston, MA 02115
Phone (617) 588-2110

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

110 Cedar St
Wellesley Hills, MA 02481
Phone (781) 237-1769

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

Organizations & group practices 3

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": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1306205273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 210",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189404501",
            "telephone_number": "215-860-7031",
            "fax_number": "215-860-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "ALLYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.