MEDICARE: ALYSSA ANN PEARSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1326895327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA ANN PEARSON

Provider Business Mailing Address
First Line	:	752 HYPERION DR
Second Line	:
City	:	DEBARY
State	:	FL
Zip	:	32713-0106
Country	:	US
Telephone Number	:	321-304-7790
Fax Number	:

Provider Business Practice Location Address
First Line	:	2864 WELLNESS AVE STE 100
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8335
Country	:	US
Telephone Number	:	386-575-4027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	05/28/2025

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Directions to “ ALYSSA ANN PEARSON ” Practice Location

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