Alyssa Catherine Laforme Fiss, PT, PHD, PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT009001 Issued in GA

Practice address

22 Coopers Glen Dr SW
Mableton, GA 30126-2584

Phone

(859) 221-4509

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679659221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 COOPERS GLEN DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COOPERS GLEN DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262584",
            "telephone_number": "859-221-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFORME FISS",
        "first_name": "ALYSSA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PT, PHD, PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "PT-004517",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT009001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Mableton, GA
• Providers in Mableton, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.