Alyssa Bryant Edens, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012677 Issued in GA

Practice address

1120 15TH St
Augusta, GA 30912-3820

Phone

(706) 721-2273

NPI assigned

Jun 5, 2016

Last updated

Jun 14, 2024By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  NPD
• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902
  NPD
• Au Medical Center, Inc.

  dba AU Medical Center Employee Pharmacy

  • Community/Retail Pharmacy
  • Augusta, GA
  • NPI 1487901476
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  dba WellStar Family Medicine at BridgeMill

  • Family Medicine Physician
  • Canton, GA
  • NPI 1346593316
  NPD
• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  NPD
• Pediatric Therapy of Aiken, LLC

  dba Pediatric Therapy Associates, LLC

  • Occupational Therapist
  • Aiken, SC
  • NPI 1164661609

  Physical Therapist

  NPD (past)
• Pediatric Therapy of Aiken, LLC

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
  • NPI 1588002026
  NPD (past)

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1407205057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 WOODSIDE EXECUTIVE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033820",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309123820",
            "telephone_number": "706-721-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 Woodside Executive Ct",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298033820",
            "country_code": "US",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDENS",
        "first_name": "ALYSSA",
        "middle_name": "BRYANT",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8161",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "PT012677",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8161",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Chase Eckler, DPT
• Sarah Sanders Eckley, P.A.
• Eddie Cheeks MDPC
• Eddie P Johnson III, DMD, PC
• Monica Phillips Edenfield, NP
• Holly Lynn Edmonds, CRNA
• Dorothy Marie Edmondson
• Karyn Connell Edmondson
• Cathy Bernice Edmunds
• Susan Jowers Edmunds, RN

• Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.