Individual provider Active NPI

Alyssa Ann Pearson

  • Physical Therapist
  • Orange City, FL
National Provider Identifier
1326895327
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2864 Wellness Ave Ste 100
Orange City, FL 32763-8335
Phone
(386) 575-4027
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 Primary

Addresses

Primary practice location

2864 Wellness Ave Ste 100
Orange City, FL 32763-8335

Mailing address

752 Hyperion Dr
Debary, FL 32713-0106
Phone (321) 304-7790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911001071 FL Practitioner - Physical Therapist in Private Practice 1658811138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure PT Physical Therapy LLCGroup PAC ID 6406218924, 4 clinicians

Practice addresses (Care Compare)

2864 Wellness Ave
Suite 100
Orange City, FL 32763-8335
Phone (386) 575-4027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pure PT Physical Therapy LLC Physical Therapist CurrentSince Aug 7, 2024 Accepting new patients
Pure PT Physical Therapy LLC Physical Therapist CurrentSince Aug 7, 2024 Accepting new patients

Locations

560 Rinehart Rd
Ste 110
Lake Mary, FL 32746
Phone (407) 333-4145

2864 Wellness Ave
Ste 100
Orange City, FL 32763
Phone (386) 218-0564

Organizations & group practices 2

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1326895327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 HYPERION DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327130106",
            "telephone_number": "321-304-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638335",
            "telephone_number": "386-575-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.