Active NPI
Alyssa Nicole Myers, PT, DPT
- Orthopedic Physical Therapist
- Wynnewood, PA
National Provider Identifier
1376211748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT029843
- Practice address
- 308 E Lancaster Ave Ste 100
Wynnewood, PA 19096-2145 - Phone
- (484) 829-6003
- NPI assigned
- Sep 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT029843 | PA | Primary |
Addresses
Primary practice location
308 E Lancaster Ave Ste 100
Wynnewood, PA 19096-2145
Mailing address
109 Raccoon PL
Media, PA 19063-1179
Phone (610) 209-8584
Other practice location 1
1720 Melrose Ave
Chester, PA 19013-5837
Phone (610) 499-4585
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT029843 | PA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1376211748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 RACCOON PL",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631179",
"telephone_number": "610-209-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E LANCASTER AVE STE 100",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962145",
"telephone_number": "484-829-6003"
}
],
"practiceLocations": [
{
"address_1": "1720 Melrose Ave",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190135837",
"country_code": "US",
"telephone_number": "610-499-4585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "ALYSSA",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT029843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.