Individual provider Active NPI

Alyssa Hearing, ATC, DPT

  • Physical Therapist
  • Indialantic, FL
National Provider Identifier
1730684192
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37594 Issued in FL
Practice address
1220 N Hwy A1A
Indialantic, FL 32903-2848
Phone
(321) 421-7117
NPI assigned
Mar 28, 2018
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37594 FL Primary
Athletic Trainer 2255A2300X AL4882 FL

Addresses

Primary practice location

1220 N Hwy A1A
Indialantic, FL 32903-2848

Mailing address

6300 N Wickham Rd Ste 133B
Melbourne, FL 32940-2029

Other practice location 1

10000 SW Bulldog Way
Stuart, FL 34997-2700
Phone (772) 219-1862

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

State licenses

LicenseStateTypeSpecialty
PT37594FLMDPhysical Therapist
AL4882FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1730684192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD STE 133B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N HWY A1A",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032848",
            "telephone_number": "321-421-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 SW Bulldog Way",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349972700",
            "country_code": "US",
            "telephone_number": "772-219-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEARING",
        "first_name": "ALYSSA",
        "credential": "ATC, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37594",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.