Individual provider Active NPI

Alyssa Haveson, PT, DPT

  • Physical Therapy Clinic/Center
  • Bensalem, PA
National Provider Identifier
1811516339
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT028188 Issued in PA
Practice address
725 Cliff Rd
Bensalem, PA 19020-4069
Phone
(862) 754-2126
Fax
(862) 754-2126
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT028188 PA Primary
Physical Therapy Clinic/Center 261QP2000X 40QA01917700 NJ

Addresses

Primary practice location

725 Cliff Rd
Bensalem, PA 19020-4069

Mailing address

725 Cliff Rd
Bensalem, PA 19020-4069
Phone (862) 754-2126

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01917700NJMDPhysical Therapy Clinic/Center
PT028188PAMDPhysical Therapy Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1811516339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CLIFF RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204069",
            "telephone_number": "862-754-2126",
            "fax_number": "862-754-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CLIFF RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204069",
            "telephone_number": "862-754-2126",
            "fax_number": "862-754-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVESON",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT028188",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01917700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.