Alyssa Leigh Middaugh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039486-1 Issued in NY

Practice address

153 Oakdale Rd Ste 2
Johnson City, NY 13790

Phone

(607) 217-0827

Fax

(607) 217-0829

NPI assigned

Mar 6, 2011

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Houghton Physical Therapy & Sports Conditioning, LLC

  • Physical Therapist
  • Attleboro, MA
  • NPI 1730275942
  NPD (past)

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1407154024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 OAKDALE RD STE 2",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901007",
            "telephone_number": "607-217-0827",
            "fax_number": "607-217-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 OAKDALE RD STE 2",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-217-0827",
            "fax_number": "607-217-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDAUGH",
        "first_name": "ALYSSA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-06",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17376",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039486-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Elizabeth Mehlenbacher, PHARMD
• Aditya Mehta, MD
• Taranjit Mellhi, MD
• Kimberly Hageman Merrill, NP-C
• Erin Meyer, PHARMD
• Alexander Victor Midolo-Cleveland, PA-S
• Lisa Mihalko, RPH
• Arthur Miller, PA
• Carol Miller, MD
• Daniel G Miller, DC, DACNB

• Physical Therapist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.