Individual provider Active NPI

Alyssa Carrasco, DPT

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1760168165
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1378061 Issued in TX
Practice address
6434 98TH St Ste 100
Lubbock, TX 79424-5468
Phone
(866) 832-1708
Fax
(888) 789-4391
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 1378061 TX Primary

Addresses

Primary practice location

6434 98TH St Ste 100
Lubbock, TX 79424-5468

Mailing address

6434 98TH St Ste 100
Lubbock, TX 79424-5468
Phone (866) 832-1708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109000967 TX Practitioner - Physical Therapist in Private Practice 9234586413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1378061TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McCombs and Associates Physical Therapy, Inc. Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Pediatric Therapy, Inc. CurrentSince Jun 25, 2023 Accepting new patients
Pediatric Therapy Incorporated PastSince Jun 25, 2023 Accepting new patients

Locations

410 Avenue G
Levelland, TX 79336
Phone (806) 897-0540

9107 Milwaukee Ave
Lubbock, TX 79424
Phone (806) 687-4311

6434 98th St
Ste 100
Lubbock, TX 79424
Phone (866) 832-1708

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1760168165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 98TH ST STE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245468",
            "telephone_number": "866-832-1708",
            "fax_number": "888-789-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 98TH ST STE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245468",
            "telephone_number": "866-832-1708",
            "fax_number": "888-789-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ALYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1378061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.