Individual provider Active NPI

Alyse Anderson

  • Physical Therapist
  • Minden, NV
National Provider Identifier
1386219236
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4530 Issued in NV
Practice address
1667 Lucerne St Ste B
Minden, NV 89423-4360
Phone
(775) 783-7606
NPI assigned
May 24, 2021
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 4530 NV Primary

Addresses

Primary practice location

1667 Lucerne St Ste B
Minden, NV 89423-4360

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialingdept@watlandbilling.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607002430 NV Practitioner - Physical Therapist in Private Practice 2163822503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Physical TherapyGroup PAC ID 1951453075, 47 clinicians

Practice addresses (Care Compare)

16560 Wedge Pkwy
Suite 200a
Reno, NV 89511-3318
Phone (775) 384-1400

4878 Sparks Blvd
Suite 102
Sparks, NV 89436-8150
Phone (775) 507-4084

9050 W Cheyenne Ave
Suite 210
Las Vegas, NV 89129-8932
Phone (702) 660-2694

Merit-based Incentive Payment System (MIPS)

Final score
58.17 of 100Reported as group
Quality
37.51
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4530NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywise Physical Therapy Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Peak Physical Therapy Physical Therapist CurrentSince Sep 8, 2023 Accepting new patients
Affiliated Physical Therapy Physical Therapist CurrentSince Sep 24, 2024 Accepting new patients
Therapy West LLC Physical Therapist Past Accepting new patients

Locations

931 Mica Dr
Ste 1
Carson City, NV 89705
Phone (775) 267-3396

9050 W Cheyenne Ave
#210
Las Vegas, NV 89129
Phone (702) 209-0069

1667 Lucerne St
Ste B
Minden, NV 89423
Phone 7757475050123

3840 W Ann Rd
Ste 101B
North Las Vegas, NV 89031
Phone (702) 660-2694

2250 Postal Dr
Ste 4
Pahrump, NV 89048
Phone (775) 727-3838

16560 Wedge Pkwy
Ste 200A
Reno, NV 89511
Phone (775) 384-1400

Organizations & group practices 4

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1386219236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 LUCERNE ST STE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234360",
            "telephone_number": "775-783-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALYSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialingdept@watlandbilling.com",
            "affiliation": "N",
            "endpointDescription": "Credentialing",
            "address_1": "1667 Lucerne St Ste B",
            "city": "Minden",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894234360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.