Individual provider Active NPI

Alanna Marie Fyalkowski, DPT

  • Physical Therapist
  • Madisonville, LA
National Provider Identifier
1669014288
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10482R Issued in LA
Practice address
389 Highway 21 Ste 403
Madisonville, LA 70447-3441
Phone
(985) 792-5996
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10482R LA Primary

Addresses

Primary practice location

389 Highway 21 Ste 403
Madisonville, LA 70447-3441

Mailing address

1303 Town Center Pkwy Unit 10224
Slidell, LA 70458-8090
Phone (724) 766-1777

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL webpt.com

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

State licenses

LicenseStateTypeSpecialty
10482RLAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1669014288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 TOWN CENTER PKWY UNIT 10224",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588090",
            "telephone_number": "724-766-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 HIGHWAY 21 STE 403",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473441",
            "telephone_number": "985-792-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYALKOWSKI",
        "first_name": "ALANNA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10482R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "webpt.com",
            "affiliation": "N",
            "address_1": "389 Highway 21 Ste 403",
            "city": "Madisonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704473441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.