Active NPI
Alan P Messa, PTA
- Physical Therapy Assistant
- Wisconsin Dells, WI
National Provider Identifier
1821698804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 300 Race St
Wisconsin Dells, WI 53965-1822 - Phone
- (608) 254-2574
- NPI assigned
- Oct 28, 2020
- Last updated
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | NU | Primary |
Addresses
Primary practice location
300 Race St
Wisconsin Dells, WI 53965-1822
Mailing address
1330 Walnut St Apt 11
Baraboo, WI 53913-2977
Phone (414) 539-1542
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | alan.messa@gmail.com | ||
| CONNECT URL | jklonowski@adaptiverehab.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1821698804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 WALNUT ST APT 11",
"city": "BARABOO",
"state": "WI",
"postal_code": "539132977",
"telephone_number": "414-539-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RACE ST",
"city": "WISCONSIN DELLS",
"state": "WI",
"postal_code": "539651822",
"telephone_number": "608-254-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSA",
"first_name": "ALAN",
"middle_name": "P",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "alan.messa@gmail.com",
"affiliation": "N",
"address_1": "300 Race St",
"city": "Wisconsin Dells",
"state": "WI",
"country_code": "US",
"postal_code": "539651822",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jklonowski@adaptiverehab.com",
"affiliation": "N",
"address_1": "300 Race St",
"city": "Wisconsin Dells",
"state": "WI",
"country_code": "US",
"postal_code": "539651822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wisconsin Dells, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.