Individual provider Active NPI

Alan P Messa, PTA

  • Physical Therapy Assistant
  • Wisconsin Dells, WI
National Provider Identifier
1821698804
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
300 Race St
Wisconsin Dells, WI 53965-1822
Phone
(608) 254-2574
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.