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Alyssa Marie Demetrius

Physical Therapy Assistant in Cedar Park, TX. Individual provider (NPI-1).

NPI number1679296909
StatusActive
Last updated in NPPESSep 21, 2022

Details

NPI
1679296909
Entity type
Individual (NPI-1)
Name
Alyssa Marie Demetrius
Sex
Female
Sole proprietor
No
Enumeration date
Sep 21, 2022
Certification date
Sep 21, 2022
Last updated
Sep 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant10031MAYes

Practice location

2200 S Lakeline Blvd
Cedar Park, TX 78613-4567

Phone 512-813-9299

Mailing address

2200 S Lakeline Blvd
Cedar Park, TX 78613-4567

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Cedar Park, TX

All 13 Physical Therapy Assistant providers in Cedar Park · All 2,303 providers in Cedar Park

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