Individual provider Active NPI

Alysa Longo, MA, PT

  • Physical Therapist
  • Pleasantville, NY
National Provider Identifier
1922003151
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010661 Issued in NY
Practice address
175 Tompkins Ave
Pleasantville, NY 10570-3144
Phone
(914) 495-3655
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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 010661 NY Primary

Addresses

Primary practice location

175 Tompkins Ave
Pleasantville, NY 10570-3144

Mailing address

333 Earle Ovington Blvd
Suite 225
Uniondale, NY 11553-3610
Phone (516) 321-2424

Other identifiers 13

IdentifierTypeStateIssuer
0013701OtherORTHONET AETNA HMO
0222701OtherORTHONET CIGNA HMO
0222701OtherORTHONET HEALTHNET
133542448-09OtherFIRST HEALTH/ICM
QP3251OtherNYEMPIRE BC/BS
0222701OtherORTHONET USFH
109230200OtherUS DEPT OF LABOR
133542448OtherPHCS
133542448-08OtherLOCAL 1199
4479299OtherCIGNA PPO
5309475OtherAETNA PPO
1181640OtherAETNA HMO
133542448OtherPOMCO

Other names 1

  • Ms. Alysa Dreishpoon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000333 NY Practitioner - Physical Therapist in Private Practice 2567636103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pleasantville Physical Therapy Sports Care, PCGroup PAC ID 9830088814, 4 clinicians

Practice addresses (Care Compare)

77 Kensico Dr
Mount Kisco, NY 10549-1009
Phone (914) 752-1975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasantville Physical Therapy Sports Care PC, Physical Therapist CurrentSince Nov 19, 2018 Accepting new patients

Locations

77 Kensico Dr
Mount Kisco, NY 10549
Phone (914) 741-2767

175 Tompkins Ave
Pleasantville, NY 10570
Phone (914) 495-3655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1922003151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EARLE OVINGTON BLVD",
            "address_2": "SUITE 225",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533610",
            "telephone_number": "516-321-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TOMPKINS AVE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703144",
            "telephone_number": "914-495-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "ALYSA",
        "name_prefix": "Mrs.",
        "credential": "MA, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET AETNA HMO",
            "identifier": "0013701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET CIGNA HMO",
            "identifier": "0222701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET HEALTHNET",
            "identifier": "0222701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/ICM",
            "identifier": "133542448-09",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "QP3251",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET USFH",
            "identifier": "0222701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "109230200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "133542448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 1199",
            "identifier": "133542448-08",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "4479299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5309475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1181640",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "133542448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSA",
            "last_name": "DREISHPOON",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.