Alyssa Stahly, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

TE011641 Issued in PW

Practice address

330 Lions Hill Rd
State College, PA 16803-1892

Phone

(814) 574-8536

NPI assigned

Apr 11, 2019

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1427511963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KRISTI LN",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170449708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LIONS HILL RD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031892",
            "telephone_number": "814-574-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHLY",
        "first_name": "ALYSSA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PW",
            "license": "TE011641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astahly@feeltheadvantage.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "330 Lions Hill Rd",
            "city": "State College",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168031892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas Alan Spotts, M.D.
• David Sprague
• Phyllis C Stackhouse, CRNP
• Karli Nicole Stager, PT, DPT
• Paula Ann Stahl, MSW, LCSW, CCTP
• Katharine Staley, PH.D.
• Linda Stanger, LCSW
• Jaclyn Brooke Stanley, M.S., ATC
• Annie Marie Stapelfeld, PAC
• Jessie Westrick Starks, M.A.

• Physical Medicine & Rehabilitation Physician in State College, PA
• Providers in State College, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.