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NPI Code Detail

MEDICARE: ALYSA S PICKENS

MEDICARE:   ALYSA S PICKENS
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
1225100000XPhysical TherapistPT022184OH

General Provider Information

NPI Number : 1760333637
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSA S PICKENS
Provider Business Mailing Address
First Line : 6480 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 513-354-3700
Fax Number : 513-354-7651
Provider Business Practice Location Address
First Line : 500 E BUSINESS WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2374
Country : US
Telephone Number : 513-354-3700
Fax Number : 513-354-3705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ ALYSA S PICKENS ” Practice Location

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