Alyssa Tersigni-Tackett, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14590 Issued in OH

Practice address

2630 W 13TH St
Ashtabula, OH 44004-2405

Phone

(440) 576-9023

NPI assigned

Dec 17, 2019

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alyssa Tersigni Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cramer Physical Therapy, LLC

  dba MyoFit Clinic

  • Physical Therapy Clinic/Center
  • Middlefield, OH
  • NPI 1336552769

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1790323145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 S RIDGE RD W",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440418378",
            "telephone_number": "440-474-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W 13TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042405",
            "telephone_number": "440-576-9023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 N Ridge Rd E",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440044396",
            "country_code": "US",
            "telephone_number": "440-993-1004",
            "fax_number": "440-574-7254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERSIGNI-TACKETT",
        "first_name": "ALYSSA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20191265-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "TERSIGNI",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Glenna Rae Thiel, LPN

• Speech-Language Pathologist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Speech-Language Pathologist in Ohio

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