Active NPI
Alyssa Marie Lanoire, DPT
- Physical Therapist
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013954A
- Practice address
- 3040 Gottbrath Pkwy
Jeffersonville, IN 47130 - Phone
- (812) 748-8612
- Fax
- (812) 669-4451
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007140 | KY | |
| Physical Therapist | 225100000X | 05013954A | IN | Primary |
Addresses
Primary practice location
3040 Gottbrath Pkwy
Jeffersonville, IN 47130
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 973-3603
Other names 1
- Alyssa Elliott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2206 State St
Suite 300
New Albany, IN 47150-4967
Phone (812) 206-0000
4611 Outer Loop
Louisville, KY 40219-3970
Phone (502) 625-6233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
3040 Gottbrath Pkwy
Jeffersonville, IN 47130
Phone (812) 748-8612
2206 State St
Ste 300
New Albany, IN 47150
Phone (812) 206-0000
805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833
4611 Outer Loop
Louisville, KY 40219
Phone (502) 625-6233
800 Crescent Centre Dr
Ste 300
Franklin, TN 37067
800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199
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.
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
IN, KY, Physical Therapist
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1609117811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1831618602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-973-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 GOTTBRATH PKWY",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "47130",
"telephone_number": "812-748-8612",
"fax_number": "812-669-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANOIRE",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007140",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013954A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "ELLIOTT",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.