Alyssa Marie Eastland, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10787 Issued in CA

Practice address

24551 Raymond Way
Suite 125
Lake Forest, CA 92630-4400

Phone

(949) 540-0301

NPI assigned

Mar 5, 2015

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Align Home Health Physical Therapy Inc

  • Home Health Agency
  • Lake Forest, CA
  • NPI 1982099065
  NPD (past)
• Mobility Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Lake Forest, CA
  • NPI 1659482990
  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1619360336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33451 BRUSHY HOLLOW DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996404",
            "telephone_number": "714-916-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24551 RAYMOND WAY",
            "address_2": "SUITE 125",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304400",
            "telephone_number": "949-540-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTLAND",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Drake, DC
• Miriam Stephens Drake, M.E.D
• Drchriscounseling LLC
• Amanda Tracey Duggan, PMHNP
• Wendy Duran, RCFE ADMIN
• Eastwest Homecare Orange Inc
• Eat Play Love
• Yassamin Ebrahiminassimi, PHARM-D
• Melanie Ebro
• El Toro Medical Investors Limited Partnership

• Physical Therapy Assistant in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.