Individual provider Active NPI

Alyson Stefanie Etter, BS, DPT

  • Pediatric Physical Therapist
  • Doylestown, PA
National Provider Identifier
1619111267
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT021841 Issued in PA
Practice address
47 Hillcrest Dr
Doylestown, PA 18901-2931
Phone
(845) 304-5740
NPI assigned
Apr 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 031150-1 NY
Pediatric Physical Therapist 2251P0200X J10002251 DE
Pediatric Physical Therapist 2251P0200X PT021841 PA Primary

Addresses

Primary practice location

47 Hillcrest Dr
Doylestown, PA 18901-2931

Mailing address

47 Hillcrest Dr
Doylestown, PA 18901-2931
Phone (845) 304-5740

Other names 1

  • Ms. Alyson Stefanie Etter 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)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
J10002251DEMDPediatric Physical Therapist
031150-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1619111267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HILLCREST DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012931",
            "telephone_number": "845-304-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HILLCREST DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012931",
            "telephone_number": "845-304-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "ALYSON",
        "middle_name": "STEFANIE",
        "name_prefix": "Mrs.",
        "credential": "BS, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "031150-1",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DE",
            "license": "J10002251",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT021841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "ETTER",
            "middle_name": "STEFANIE",
            "prefix": "MS.",
            "credential": "BS, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.