Individual provider Active NPI

Alyson Tisthammer, DPT

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1730802448
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302868 Issued in CA
Practice address
1040 N Rengstorff Ave Ste A4
Mountain View, CA 94043-1761
Phone
(650) 967-5100
Fax
(650) 967-5101
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 302868 CA Primary

Addresses

Primary practice location

1040 N Rengstorff Ave Ste A4
Mountain View, CA 94043-1761

Mailing address

1040 N Rengstorff Ave Ste A4
Mountain View, CA 94043-1761
Phone (650) 967-5100

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
302868CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1730802448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N RENGSTORFF AVE STE A4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431761",
            "telephone_number": "650-967-5100",
            "fax_number": "650-967-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N RENGSTORFF AVE STE A4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431761",
            "telephone_number": "650-967-5100",
            "fax_number": "650-967-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISTHAMMER",
        "first_name": "ALYSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.