Alyssa Janelle McClintick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301684 Issued in CA

Practice address

4635 Mission Gorge PL Ste B
San Diego, CA 92120-4145

Phone

(619) 501-9037

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1396490496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 MISSION GORGE PL STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 MISSION GORGE PL STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204145",
            "telephone_number": "619-501-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTICK",
        "first_name": "ALYSSA",
        "middle_name": "JANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyssa@longevityphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication with patients",
            "address_1": "4635 Mission Gorge Pl Ste B",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921204145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brody McClendon
• Juwell Ashili McClendon, LCSW
• Kayla McClendon
• Rachelle Nicole McClenney, CRNA
• Nicole C McCleod, SOCIAL WORKER
• Alicia McClintock, M.D.
• Pete McClintock, M.A., MFT
• McClinton Chiropractic Corp
• Ryan Thomas McClinton, D.C.
• Kari N. McCloskey, R.D.

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.