Active NPI
Alyssa Parker Vanover, PT, DPT
- Physical Therapist
- Culver City, CA
National Provider Identifier
1689988354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36950
- Practice address
- 11160 Washington Blvd Ste a
Culver City, CA 90232-3978 - Phone
- (626) 720-3687
- Fax
- (310) 425-8273
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36950 | CA | Primary |
Addresses
Primary practice location
11160 Washington Blvd Ste a
Culver City, CA 90232-3978
Mailing address
11160 Washington Blvd Ste a
Culver City, CA 90232-3978
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One for All: Healing Arts Center, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Culver City, CA
- NPI 1700143690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1689988354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 WASHINGTON BLVD STE A",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 WASHINGTON BLVD STE A",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323978",
"telephone_number": "626-720-3687",
"fax_number": "310-425-8273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANOVER",
"first_name": "ALYSSA",
"middle_name": "PARKER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.