National Provider Identifier

Alyssa J Johnson

Alyssa J Johnson is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Greenhurst, NY and a listed phone number of (716) 483-5000.

NPI 1801352919Greenhurst, NYPhysical Therapy Assistant

Profile Overview

NPI
1801352919
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
February 13, 2019
Last Updated
February 13, 2019

Practice Location

  • 3023 Ny-430
  • Greenhurst, NY 14742

Phone: (716) 483-5000

Mailing Address

  • 1261 Central Belle Village Dr
  • Erie, PA 16509-7617

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1801352919
Entity Type
Individual
Last Name
Johnson
First Name
Alyssa
Middle Name
J
Provider Other Last Name
Mancheter
Provider Other First Name
Alyssa
Provider Other Middle Name
J
Provider Other Last Name Type Code
1
Mailing Street Address
1261 Central Belle Village Dr
Mailing City
Erie
Mailing State
PA
Mailing ZIP Code
16509-7617
Mailing Country
US
Mailing Phone
(607) 215-3402
Practice Street Address
3023 Ny-430
Practice City
Greenhurst
Practice State
NY
Practice ZIP Code
14742
Practice Country
US
Practice Phone
(716) 483-5000
Enumeration Date
February 13, 2019
Last Updated
February 13, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)