Individual provider Active NPI

Alyssa Veronica Mauro, DPT

  • Physical Therapist
  • Murrieta, CA
National Provider Identifier
1427730647
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304468 Issued in CA
Practice address
41421 Date St Ste 101
Murrieta, CA 92562-7079
Phone
(855) 454-3784
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304468 CA Primary

Addresses

Primary practice location

41421 Date St Ste 101
Murrieta, CA 92562-7079

Mailing address

1814 Oakshire CT
San Diego, CA 92102-1321
Phone (702) 496-9015

Other names 1

  • Alyssa Veronica Holmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
304468CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Littlefield Physical Therapy, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Littlefield Physical Therapy, Inc. Physical Therapist PastSince Aug 13, 2023 Accepting new patients

Locations

41421 Date St
Ste 101
Murrieta, CA 92562
Phone (855) 454-3784

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1427730647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 OAKSHIRE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021321",
            "telephone_number": "702-496-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41421 DATE ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627079",
            "telephone_number": "855-454-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "ALYSSA",
        "middle_name": "VERONICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HOLMES",
            "middle_name": "VERONICA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.