Individual provider Active NPI

Alyssa Marie Bush, PT, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1851131015
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23192 Issued in NC
Practice address
3475 Erwin Rd
Durham, NC 27705-0005
Phone
(919) 684-2445
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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 P23192 NC Primary

Addresses

Primary practice location

3475 Erwin Rd
Durham, NC 27705-0005

Mailing address

1015 Hatches Pond LN Apt 404
Morrisville, NC 27560-6445
Phone (518) 491-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240823000411 NC Practitioner - Physical Therapist in Private Practice 1153860077 Reassigns benefits to 1 organization
I20250220001979 MA Practitioner - Physical Therapist in Private Practice 1153860077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Train Boston Physical Therapy IncGroup PAC ID 6709065006, 7 clinicians

Practice addresses (Care Compare)

34 Washington St
Wellesley, MA 02481-1934
Phone (781) 263-9993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Train Boston Physical Therapy, Inc. Physical Therapist CurrentSince Feb 4, 2025 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Train Boston Physical Therapy, Inc. PastSince Feb 4, 2025 Accepting new patients

Locations

34 Washington St
Wellesley Hills, MA 02481
Phone (781) 263-9993

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1851131015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HATCHES POND LN APT 404",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606445",
            "telephone_number": "518-491-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-684-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

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

Verify at the official NPI Registry.