Active NPI
Alyssa Marie Diggins, PTA
- Physical Therapy Assistant
- Baltimore, MD
National Provider Identifier
1346987179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A4972
- Practice address
- 1100 E 33Rd St Ste 105
Baltimore, MD 21218-6795 - Phone
- (410) 366-0791
- NPI assigned
- May 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A7750 | NC | |
| Physical Therapy Assistant | 225200000X | A4972 | MD | Primary |
Addresses
Primary practice location
1100 E 33Rd St Ste 105
Baltimore, MD 21218-6795
Mailing address
4707 Vicky Rd
Nottingham, MD 21236-1914
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 |
|---|---|---|---|
| A4972 | MD | MD | Physical Therapy Assistant |
| A7750 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1346987179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 VICKY RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212361914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E 33RD ST STE 105",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212186795",
"telephone_number": "410-366-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGGINS",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A7750",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A4972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Dig-in-to Change/Knowledge, Power and Wisdom, LLC
- Dig-in-to Change/Knowledge, Power and Wisdom, LLC
- Kerri Digangi, BCBA
- Digestive Disease Associates, LLC
- Dominic Diggin
- Marie Antoinette Diggins, CAC-AD
- Brittany Arrielle Diggs
- Chelsea Christine Diggs, CRNP
- Danielle N Diggs
- Frank Harvey Diggs, M.S.N., APRN-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.