Alyssa Riddle

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

PTA24773 Issued in FL

Practice address

934 Williston Park PT Ste 1020
Lake Mary, FL 32746-2165

Phone

(407) 829-7311

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cora Health Services Inc

  dba CORA Physical Therapy - Lake Mary

  • Rehabilitation Clinic/Center
  • Lake Mary, FL
  • NPI 1194758383
  NPD (past)
• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1568136893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 W WARREN AVE APT 425",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 WILLISTON PARK PT STE 1020",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462165",
            "telephone_number": "407-829-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "PTA24773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Renee Richardson-Price, M.D.
• Erislene Sabino de Sousa Richardson
• Precious Dewhitt Richardson
• Phabrina Richemond, PMHNP
• Sherrine Faye Richmond, ARNP
• Eric David Rideman, D.O.
• Haylei Summer Riedel
• Right Choice Senior Activity Center LLC
• Shawn Riker
• Clarence Riley Jr.

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.