Active NPI
Alayna A Acosta
- Physical Therapy Assistant
- Roanoke, VA
National Provider Identifier
1932930211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7583
- Practice address
- 4355 Pheasant Ridge Rd
Roanoke, VA 24014-5272 - Phone
- (540) 725-8210
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7583 | MS | Primary |
Addresses
Primary practice location
4355 Pheasant Ridge Rd
Roanoke, VA 24014-5272
Mailing address
2208 Jefferson St SE Apt 105
Roanoke, VA 24014-2410
Phone (228) 383-1164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7583 | MS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1932930211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 JEFFERSON ST SE APT 105",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142410",
"telephone_number": "228-383-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 PHEASANT RIDGE RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240145272",
"telephone_number": "540-725-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "ALAYNA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "7583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.