ALYSHA THEOSMY (NPI# 1508117953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508117953 |
| Entity Type | Individual |
| Full Name | ALYSHA THEOSMY |
| Credential | PA |
| Practice Address |
2103 Burlington Mount Holly Rd Burlington NJ 08016-4157 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 6097479200 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA055669 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00298200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00298200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2103 BURLINGTON MOUNT HOLLY RD |
| City | BURLINGTON |
| State | NJ |
| Zip Code | 08016-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871573170 | Rancocas Orthopedic Associates, Pa | Orthopaedic Surgery | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2006-01-20 |
| 1336788322 | Matthew Massaro | Physical Therapist | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2019-12-23 |
| 1154892123 | Zebaysh Khan | Physician Assistant | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2018-12-17 |
| 1720553076 | Melissa Fedore | Occupational Therapist | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2018-10-12 |
| 1720393663 | Adam Freitag | Physical Therapist | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2010-08-16 |
| 1871808741 | Carla Bonfitto | Physical Therapist | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2010-08-16 |
| 1043539943 | Lourdes Medical Associates, Pa | Orthopaedic Surgery | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2010-05-18 |
| 1912168055 | Susan M. Freeman | Physical Therapist | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2008-06-20 |
| 1538348123 | Wendy Shaw Harris | Physical Therapist | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2007-10-30 |
| 1689885816 | Sean Mc Millan | Orthopaedic Surgery | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 | 2007-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
| 1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
| 1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
| 1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
| 1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
| 1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
| 1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in zip 08016 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629147665 | Shannon Ann Mcgowan | Physician Assistant | 827 Heather Rd, Burlington, NC 27215-6288 | 2006-11-06 |
| 1861457806 | Kathleen Thayer Maloney | Physician Assistant | Fahc, 111 Colchester Ave, Burlington, VT 05401-1063 | 2006-04-20 |
| 1760922454 | Kyle C Craven | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-01 |
| 1396089751 | Michael P. Higgins | Physician Assistant | 111 Colchester Ave, Uvm Medical Center - Surgery/ct & Trauma, Burlington, VT 05401-1473 | 2012-11-23 |
| 1124350806 | Andrew M Ancel | Physician Assistant | 111 Colchester Ave, Fahc Emergency Department, Burlington, VT 05401-1473 | 2010-02-05 |
| 1467787531 | Jonathan R Prentice | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2009-10-07 |
| 1528206075 | Deborah Beth Governale | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2009-01-21 |
| 1700070992 | Roshni R Patel | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2007-08-30 |
| 1306059910 | Katie Lyn Norton | Physician Assistant | 111 Colchester Ave, Baird 196, Burlington, VT 05401-1473 | 2007-05-08 |
| 1548383144 | Anthony A Kopecky | Physician Assistant | 111 Colchester Ave, Mcclure 1 Radiology, Burlington, VT 05401-1473 | 2007-04-09 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 08016 |
Please comment or provide details below to improve the information on ALYSHA THEOSMY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.