Alyssa Donato

Individual provider Active NPI Physical Therapy Assistant · Windber, PA

NPI 1700237286 · NPPES record last updated Jun 27, 2016

Key facts

NPI
1700237286
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TE010494 (PA)
Practice address
318 Jefferson Ave
Windber, PA 15963-2618
Phone
(814) 659-9685
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TE010494PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE010494 PA Yes

Addresses

Primary practice location

318 Jefferson Ave
Windber, PA 15963-2618

Mailing address

318 Jefferson Ave
Windber, PA 15963-2618
Phone (814) 659-9685

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2016.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1700237286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 JEFFERSON AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159632618",
            "telephone_number": "814-659-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 JEFFERSON AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159632618",
            "telephone_number": "814-659-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE010494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

All providers in Windber, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.