ALYSSA WENNIN (NPI# 1780126961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780126961 |
| Entity Type | Individual |
| Full Name | ALYSSA WENNIN |
| Credential | DPT |
| Practice Address |
1938 Bucktail Rd Saint Marys PA 15857-3224 |
| Practice Telephone | 8143352557 |
| Mailing Telephone | 8143352557 |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2016-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT020648 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1938 BUCKTAIL RD |
| City | SAINT MARYS |
| State | PA |
| Zip Code | 15857-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
| 1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
| 1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
| 1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
| 1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
| 1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
| Find all providers in zip 15857 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038105 | Kaitlyn Elizabeth Stoltz | Physical Therapist | 3 Jason Ct, Avondale, PA 19311-9734 | 2020-09-16 |
| 1902419146 | Jason Anthony Chippich | Physical Therapist | 171 Sheldon Ave, Pittsburgh, PA 15220-2638 | 2020-08-27 |
| 1023634128 | Growing Roots Pediatric Therapy | Physical Therapist | 169 Scott Ln, Venetia, PA 15367-1115 | 2020-06-24 |
| 1366092413 | Francine Seloi Mathis | Physical Therapist | 7064 Veronica Rd, Upper Darby, PA 19082-4111 | 2019-09-19 |
| 1588120083 | Lauren Ashley Mccullion | Physical Therapist | 2045 E Lizard Creek Rd, Lehighton, PA 18235-3720 | 2019-02-20 |
| 1629585104 | Kristine Daniels | Physical Therapist | 2271 Mcarthur Dr, Hatfield, PA 19440-3561 | 2018-01-05 |
| 1518476019 | Creative Solutions Therapy LLC | Physical Therapist | 2409 Beechtree Rd, Falls Creek, PA 15840-3807 | 2017-09-27 |
| 1255850095 | Paige Mary Fuller | Physical Therapist | 224 Rimmey Rd, Centre Hall, PA 16828-9217 | 2017-09-13 |
| 1811449960 | Cynthia Theresa Fehrle | Physical Therapist | 1113 Tremont Dr, Glenolden, PA 19036-1522 | 2016-10-25 |
| 1295280055 | Lindsay Cirone | Physical Therapist | 706 Burbridge Rd, Hatboro, PA 19040-4524 | 2016-08-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 15857 |
Please comment or provide details below to improve the information on ALYSSA WENNIN.
| 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.