Active NPI
Alyssa F Vollmer
- Massage Therapist
- Fort Wayne, IN
National Provider Identifier
1952967838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT21806426
- Practice address
- 2050 E Dupont Rd
Fort Wayne, IN 46825-1583 - Phone
- (260) 444-2080
- NPI assigned
- May 15, 2019
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT21806426 | IN | Primary |
Addresses
Primary practice location
2050 E Dupont Rd
Fort Wayne, IN 46825-1583
Mailing address
2050 E Dupont Rd
Fort Wayne, IN 46825-1583
Phone (260) 450-4476
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 |
|---|---|---|---|
| MT21806426 | IN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Heath Nagel PC | Past | Accepting new patients |
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": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1952967838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251583",
"telephone_number": "260-450-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251583",
"telephone_number": "260-444-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLLMER",
"first_name": "ALYSSA",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT21806426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.