Individual provider Active NPI

Alyssa Rives, PT, DPT

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1689348484
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015452 Issued in GA
Practice address
102 Mary Alice Park Rd Ste 601
Cumming, GA 30040-2713
Phone
(470) 239-0132
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 PT015452 GA Primary

Addresses

Primary practice location

102 Mary Alice Park Rd Ste 601
Cumming, GA 30040-2713

Mailing address

4820 Westgate Dr
Cumming, GA 30040-9447
Phone (470) 239-0132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211026002546 GA Practitioner - Physical Therapist in Private Practice 1951799865 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Momumental Physical Therapy & Performance, LLC Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Aug 5, 2021 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Aug 5, 2021 Accepting new patients

Locations

102 Mary Alice Park Rd
Ste 601
Cumming, GA 30040
Phone (404) 955-8463

4743 Atlanta Hwy
Ste 100
Loganville, GA 30052
Phone (770) 466-9343

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1689348484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 WESTGATE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409447",
            "telephone_number": "470-239-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARY ALICE PARK RD STE 601",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402713",
            "telephone_number": "470-239-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVES",
        "first_name": "ALYSSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.