Alyssa Warden, DO
Physical Medicine & Rehabilitation in Robbinsdale, MN. Individual provider (NPI-1).
NPI number1003475005
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1003475005
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Warden
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2019
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 74041 | MN | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 76475-21 | WI | |
| 208100000X | Physical Medicine & Rehabilitation | 8221851 | WI |
Other names
- Alyssa Breitbach (Former Name)
Practice location
3300 Oakdale Ave NRobbinsdale, MN 55422
Phone 763-520-5200
Mailing address
3300 Oakdale Ave NRobbinsdale, MN 55422
Phone 763-520-5200
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Other Physical Medicine & Rehabilitation Physician providers in Robbinsdale, MN
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