Active NPI
Alyssa Davis, DPT
- Orthopedic Physical Therapist
- Chicago, IL
National Provider Identifier
1710239132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070019224
- Practice address
- 819 W. Blackhawk
Chicago, IL 60642 - Phone
- (312) 397-1900
- Fax
- (312) 397-1901
- NPI assigned
- Oct 9, 2012
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070019224 | IL | Primary |
Addresses
Primary practice location
819 W. Blackhawk
Chicago, IL 60642
Mailing address
681 56TH PL
Clarendon Hills, IL 60514-1557
Phone (630) 850-7901
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070019224 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1710239132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 56TH PL",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141557",
"telephone_number": "630-850-7901",
"fax_number": "630-850-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 W. BLACKHAWK",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60642",
"telephone_number": "312-397-1900",
"fax_number": "312-397-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALYSSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070019224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.