Individual provider Active NPI

Alyssa Nicole Quixley, PT, DPT

  • Physical Therapist
  • Indialantic, FL
National Provider Identifier
1306677653
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42170 Issued in FL
Practice address
417 5TH Avenue
Suite 101B
Indialantic, FL 32903
Phone
(321) 372-3090
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 PT42170 FL Primary

Addresses

Primary practice location

417 5TH Avenue
Suite 101B
Indialantic, FL 32903

Mailing address

417 5TH Avenue
Suite 101B
Indialantic, FL 32903

Other practice location 1

3830 S Hwy A1A Ste C5
Melbourne Beach, FL 32951-3145
Phone (321) 372-3090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923003964 FL Practitioner - Physical Therapist in Private Practice 6406397009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
His Business Not Mine, Inc Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients

Locations

417 5th Ave
Apt 101
Indialantic, FL 32903
Phone (305) 304-7842

3830 S Highway A1A
Ste C5
Melbourne Beach, FL 32951
Phone (321) 327-7889

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1306677653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 5TH AVENUE",
            "address_2": "SUITE 101B",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "32903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 5TH AVENUE",
            "address_2": "SUITE 101B",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "32903",
            "telephone_number": "321-372-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 S Hwy A1A Ste C5",
            "address_purpose": "LOCATION",
            "city": "Melbourne Beach",
            "state": "FL",
            "postal_code": "329513145",
            "country_code": "US",
            "telephone_number": "321-372-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIXLEY",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.