Individual provider Active NPI

Alyson Richele Vasconcellos, DPT

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1699109116
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40380 Issued in CA
Practice address
2777 Bristol St
Costa Mesa, CA 92626
Phone
(949) 250-1112
Fax
(949) 250-1401
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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 40380 CA Primary

Addresses

Primary practice location

2777 Bristol St
Costa Mesa, CA 92626

Mailing address

2777 Bristol St
Costa Mesa, CA 92626
Phone (949) 250-1112

Other names 1

  • Alyson Richele Hold Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehab & Sports Therapy CurrentSince Mar 9, 2020 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Complete Balance Solution Institute of Physiotherapy Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients
California Rehabilitation and Sports Therapy a California Physical Ther CurrentSince Mar 9, 2020 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist PastSince Apr 19, 2018 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients
PNP Associates Past Accepting new patients

Locations (25 of 31)

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

255 E Rincon St
Ste 112
Corona, CA 92879
Phone (951) 523-8509

1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967

4755 Katella Ave
Ste 101
Cypress, CA 90720
Phone (657) 213-8687

18785 Brookhurst St
Ste 104
Fountain Valley, CA 92708
Phone (657) 301-4967

11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959

18682 Beach Blvd
Ste 160
Huntington Beach, CA 92648
Phone (714) 378-1300

7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800

36 Mauchly
Ste A
Irvine, CA 92618
Phone (949) 374-3315

2880 Michelle
Irvine, CA 92606
Phone (562) 732-5539

4950 Barranca Pkwy
Ste 302
Irvine, CA 92604
Phone (949) 346-1486

18 Endeavor
Ste 105
Irvine, CA 92618
Phone (949) 340-6927

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

23141 Moulton Pkwy
Ste 111
Laguna Hills, CA 92653
Phone (949) 340-6927

24050 Aliso Creek Rd
Ste 1C
Laguna Niguel, CA 92677
Phone (949) 317-4454

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

24491 Alicia Pkwy
Mission Viejo, CA 92691
Phone (949) 876-5299

26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

3111 N Tustin St
Ste 180
Orange, CA 92865
Phone (714) 282-7701

11260 Wilbur Ave
Ste 101
Porter Ranch, CA 91326
Phone (818) 832-5656

30492 Gateway Pl
Ste 201
Rancho Mission Viejo, CA 92694
Phone (949) 877-7745

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1699109116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "949-250-1112",
            "fax_number": "949-250-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "949-250-1112",
            "fax_number": "949-250-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCONCELLOS",
        "first_name": "ALYSON",
        "middle_name": "RICHELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "HOLD",
            "middle_name": "RICHELE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.