Alyssa Anderson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

4900 Shamrock Dr Ste 100-102
Evansville, IN 47715-7325

Phone

(812) 479-7337

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1992473151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SHAMROCK DR STE 100-102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SHAMROCK DR STE 100-102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157325",
            "telephone_number": "812-479-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aanderson@cptevansville.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4900 Shamrock Dr Ste 100-102",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477157325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Prakhar Anand, MB BCH BAO
• Anatomic Laboratory of the Tri-State, LLC
• Samuel Herbert Anderson-Been, MD
• Aalaa Bint-Bashir Shahin Anderson, OD
• Alexandria Anderson, MSN, FNP-C
• Douglas Dale Anderson
• Jessica J Anderson, AGACNP-BC
• Leah Anderson
• Maegan Nicole Anderson, AGACNP-BC
• Samantha Frances Anderson, CRNA

• Physical Therapy Assistant in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.