Individual provider Active NPI

Alyssa Wing

  • Physical Therapist
  • Iowa City, IA
National Provider Identifier
1962217182
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
129613 Issued in IA
Practice address
1130 S Scott Blvd Ste 1
Iowa City, IA 52240-2909
Phone
(319) 354-2429
NPI assigned
Feb 13, 2025
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 129613 IA Primary

Addresses

Primary practice location

1130 S Scott Blvd Ste 1
Iowa City, IA 52240-2909

Mailing address

1130 S Scott Blvd Ste 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225003555 IA Practitioner - Physical Therapist in Private Practice 5597285114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129613IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy of Iowa Physical Therapist CurrentSince Feb 19, 2025 Accepting new patients
Progressive Rehabilitation Associates L.L.C. Physical Therapist CurrentSince Feb 19, 2025 Accepting new patients

Locations

4000 River Ridge Dr NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 200-3063

2769 Heartland Dr
Ste 301
Coralville, IA 52241
Phone (319) 354-2429

1130 S Scott Blvd
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429

2905 Stoner Ct
Ste 2
North Liberty, IA 52317
Phone (319) 626-2775

1120 Tall Grass Ave
Tiffin, IA 52340
Phone (319) 545-2407

100 Alexander Dr
Ste 4
Tipton, IA 52772
Phone (563) 886-3421

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, 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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1962217182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S SCOTT BLVD STE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522402909",
            "telephone_number": "319-354-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S SCOTT BLVD STE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522402909",
            "telephone_number": "319-354-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "129613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.