Alyssa Larson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6111 Issued in NM

Practice address

2113 Golf Course Rd SE
Rio Rancho, NM 87124-1656

Phone

(505) 898-9700

Fax

(505) 212-6991

NPI assigned

Jun 7, 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

Other names 1

• Dr. Alyssa Coonrod Former name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Physical Therapy and Wellness LLCGroup PAC ID 9032427513, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Balanced Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Albuquerque, NM
  • NPI 1407234917

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Langford Consulting Inc

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1225070634
  Medicare reassignment NPD
• Select Physical Therapy of Albuquerque LTD

  • Rehabilitation Clinic/Center
  • Rio Rancho, NM
  • NPI 1124089206

  Physical Therapist

  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1417686205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7849 TRAMWAY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222529",
            "telephone_number": "505-821-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 GOLF COURSE RD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241656",
            "telephone_number": "505-898-9700",
            "fax_number": "505-212-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Menaul Blvd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871071872",
            "country_code": "US",
            "telephone_number": "505-842-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3811 Commons Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871095832",
            "country_code": "US",
            "telephone_number": "505-345-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT6111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "COONROD",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Margaret Larkin
• Esther Larranaga, LMT
• Ramona Larribas
• Frances R. Larsen, M.S., L.P.C.C.
• Kelly C Larsen
• Ashlee Laughlin
• Laura McCleskey CFNP
• Lavender Roots Therapeutic Services
• Melissa Adel Lawrence, M.A. CCC-SLP
• Richard Michael Laws, LISW

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.