Active NPI
Alissa Marie Scolaro
- Physical Therapist
- Detroit, MI
National Provider Identifier
1548559115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5502001485
- Practice address
- 5447 Woodward Ave
Detroit, MI 48202-4009 - Phone
- (313) 832-1100
- NPI assigned
- Apr 4, 2011
- Last updated
- Jul 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5502001485 | MI | Primary |
Addresses
Primary practice location
5447 Woodward Ave
Detroit, MI 48202-4009
Mailing address
185 Hillboro Dr
Bloomfield Hills, MI 48301-3316
Phone (248) 203-9075
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502001485 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1548559115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 HILLBORO DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483013316",
"telephone_number": "248-203-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5447 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482024009",
"telephone_number": "313-832-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOLARO",
"first_name": "ALISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2023-07-07",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5502001485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.