Alyssa Andrews

Individual provider Active NPI Physical Therapist · Naugatuck, CT

NPI 1336766385 · NPPES record last updated Nov 8, 2022

Key facts

NPI
1336766385
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
12685 (CT)
Practice address
305 Church Street
Suite 8
Naugatuck, CT 06770-2804
Phone
(203) 723-4010
Fax
(203) 723-4021
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12685CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Rehab Centers, LLC Physical Therapist Past
since Jun 28, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12685 CT Yes

Addresses

Primary practice location

305 Church Street
Suite 8
Naugatuck, CT 06770-2804

Mailing address

1625 Straits Turnpike
Suite 300
Middlebury, CT 06762-1805
Phone (203) 598-0600

Other identifiers

IdentifierTypeStateIssuer
004190328MedicaidCT

Other names

  • Alyssa Desanti Former name

Other providers in Naugatuck, CT

All providers in Naugatuck, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.