Individual provider Active NPI

Alyssa Drought

  • Physical Therapist
  • Glen Allen, VA
National Provider Identifier
1821656984
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212866 Issued in VA
Practice address
4101 Cox Rd Ste 100
Glen Allen, VA 23060-3320
Phone
(804) 716-0457
Fax
(804) 716-0496
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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 2305212866 VA Primary

Addresses

Primary practice location

4101 Cox Rd Ste 100
Glen Allen, VA 23060-3320

Mailing address

8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815
Phone (804) 569-1787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929002442 GA Practitioner - Physical Therapist in Private Practice 5496081002 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212866VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ledesma Sports Medicine LLC Physical Therapist CurrentSince Aug 17, 2020 Accepting new patients
Fife Therapy Services, LLC Physical Therapist CurrentSince Mar 3, 2022 Accepting new patients
Fife Therapy Services, LLC Physical Therapist PastSince Jan 31, 2021 Accepting new patients

Locations

6 Mall Ter
Savannah, GA 31406
Phone (912) 239-6140

7010 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 401-0443

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1821656984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ATLEE RD STE D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161815",
            "telephone_number": "804-569-1787",
            "fax_number": "804-569-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 COX RD STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603320",
            "telephone_number": "804-716-0457",
            "fax_number": "804-716-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUGHT",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.