Alyssa Fuller Martin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6828 Issued in MS

Practice address

4016 Cassimer Ave
Diberville, MS 39540-2309

Phone

(228) 280-8120

NPI assigned

Dec 2, 2019

Last updated

Aug 23, 2023By the provider in NPPES

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

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drayer Physical Therapy Mississippi LLCGroup PAC ID 3274834858, 113 clinicians

Benchmark Physical Therapy of Mississippi LLCGroup PAC ID 0840626446, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Benchmark Physical Therapy of Mississippi LLC

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1811547680
  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448
  Medicare reassignment Care Compare group NPD
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Saltillo, MS
  • NPI 1386010718
  Medicare reassignment NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  MS, Physical Therapist

  Medicare reassignment NPD
• Dpti Elite Physical Therapy LLC

  • Physical Therapist
  • Baldwyn, MS
  • NPI 1013383496
  NPD
• Dynamic Rehabilitation Services LLC

  dba Neolife PT and Wellness

  • Physical Therapist
  • D'Iberville, MS
  • NPI 1194102434
  NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1649817388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 CASSIMER AVE",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402309",
            "telephone_number": "228-280-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 CASSIMER AVE",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402309",
            "telephone_number": "228-280-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "772 Lake Harbour Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391574365",
            "country_code": "US",
            "telephone_number": "601-899-0002",
            "fax_number": "601-899-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALYSSA",
        "middle_name": "FULLER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lococo Health and Wellness Inc
• Nicholas Andrew Lococo, D.C.
• Long Beach Pass Medical
• Catherine Ann Louiselle
• Magnolia Bloom Counseling, LLC
• Katelyn Elizabeth Martin, BCBA, LBA
• Maxem Health Urgent Care Diberville
• Matthew Scott Mazara, PTA
• Rachael Elizabeth McAllister, RN
• Yostin Zambrano McKelroy, MSN, APRN, FNP-C

• Physical Therapist in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.