Individual provider Active NPI

Alyssa A Root, PT

  • Physical Therapist
  • Longview, WA
National Provider Identifier
1942647375
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60954901 Issued in WA
Practice address
1015 Ocean Beach Hwy Ste 16
Longview, WA 98632-4098
Phone
(360) 501-3750
Fax
(360) 501-3755
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT60954901 WA Primary

Addresses

Primary practice location

1015 Ocean Beach Hwy Ste 16
Longview, WA 98632-4098

Mailing address

3307 Grand Ave
Ste 203
Billings, MT 59102-6546
Phone (406) 655-9060

Other practice location 1

3307 Grand Ave
Ste 203
Billings, MT 59102-6546
Phone (406) 655-9060

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aroot@peacehealth.org Direct

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth PastSince May 17, 2020 Accepting new patients
West Billings Physical Therapy Physical Therapist PastSince Nov 15, 2004 Accepting new patients

Organizations & group practices 2

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1942647375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 GRAND AVE",
            "address_2": "STE 203",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026546",
            "telephone_number": "406-655-9060",
            "fax_number": "406-655-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 OCEAN BEACH HWY STE 16",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324098",
            "telephone_number": "360-501-3750",
            "fax_number": "360-501-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Grand Ave",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591026546",
            "country_code": "US",
            "telephone_number": "406-655-9060",
            "fax_number": "406-655-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOT",
        "first_name": "ALYSSA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60954901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aroot@peacehealth.org",
            "affiliation": "N",
            "endpointDescription": "mine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1015 Ocean Beach Hwy Ste 16",
            "city": "Longview",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986324098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.