Individual provider Active NPI

Alysa Cristine Hoffman Comperchio, DPT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1831740737
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019314 Issued in MI
Practice address
5400 S Pennsylvania Ave
Lansing, MI 48911-4049
Phone
(517) 393-7325
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 5501019314 MI Primary

Addresses

Primary practice location

5400 S Pennsylvania Ave
Lansing, MI 48911-4049

Mailing address

5400 S Pennsylvania Ave
Lansing, MI 48911-4049
Phone (517) 474-1316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315001501 MI Practitioner - Physical Therapist in Private Practice 8224423082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019314MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Dec 14, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Dec 14, 2021 Accepting new patients

Locations

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

5400 S Pennsylvania Ave
Lansing, MI 48911
Phone (517) 393-7325

11561 Edgerton Ave NE
Rockford, MI 49341
Phone (616) 866-2727

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1831740737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S PENNSYLVANIA AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114049",
            "telephone_number": "517-474-1316",
            "fax_number": "517-393-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S PENNSYLVANIA AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114049",
            "telephone_number": "517-393-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPERCHIO",
        "first_name": "ALYSA",
        "middle_name": "CRISTINE HOFFMAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.