Individual provider Active NPI

Alyssa Demeule, PT, DPT

  • Physical Therapist
  • Melrose, MA
National Provider Identifier
1871348524
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL27300 Issued in MA
Practice address
802 Main St
Melrose, MA 02176-2708
Phone
(813) 540-0639
NPI assigned
Apr 17, 2024
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 PTL27300 MA Primary

Addresses

Primary practice location

802 Main St
Melrose, MA 02176-2708

Mailing address

802 Main St
Melrose, MA 02176-2708
Phone (813) 540-0639

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

State licenses

LicenseStateTypeSpecialty
PTL27300MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momlife Health and Wellness Physical Therapist CurrentSince Apr 21, 2024 Accepting new patients

Locations

266 Main St
Ste 17
Medfield, MA 02052
Phone (508) 556-1397

Organizations & group practices 1

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1871348524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762708",
            "telephone_number": "813-540-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762708",
            "telephone_number": "813-540-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEULE",
        "first_name": "ALYSSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.