Alyssa Marie Vanderah

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008591 Issued in IL

Practice address

1806 S Highland Ave
Lombard, IL 60148-4938

Phone

(312) 604-3740

NPI assigned

May 15, 2020

Last updated

May 15, 2020By 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

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1598387227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W CORNELIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571723",
            "telephone_number": "608-778-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 S HIGHLAND AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484938",
            "telephone_number": "312-604-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERAH",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Valdes
• Maria R Valdez, LCPC
• Erin Valentino, P.A.
• Rebecca Van Landuyt
• Shauna Jean Vance, CSFA
• Abigail Vannatter
• Aleksandra Vargas, FNP-BC
• Jesus Alberto Vargas, OTR/L
• Francesca L Varias
• Milijana Vasilic

• Physical Therapy Assistant in Lombard, IL
• Providers in Lombard, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.