Alyssa Samuelson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21806 Issued in MA

Practice address

19 Sunset Dr
Burlington, MA 01803-4112

Phone

(781) 214-6505

NPI assigned

Sep 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Uplift Physio, LLC

  • Physical Therapist
  • Burlington, MA
  • NPI 1679278758
  NPD Authorized official
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1740658947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SUNSET DR",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SUNSET DR",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034112",
            "telephone_number": "781-214-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Salvati, LCSW
• Stephen E Salzillo
• Nada Georges Samaha, M.D.
• Rachel Samse, DPT
• Brian T Samuelsen, MD
• Daniel E. Sanchez-Almanzar, MD
• Idamis Sanchez
• Melissa M Sanchez, BA
• Sharneet Kaur Sandhu, MD
• Sandipani M Sandilya, MD

• Physical Therapist in Burlington, MA
• Providers in Burlington, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.