Healthcare Provider Details

I. General information

NPI: 1508575614
Provider Name (Legal Business Name): ALYSSA SCHERLIN MAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2022
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 STATE ST
SPRINGFIELD MA
01109-3151
US

IV. Provider business mailing address

61 S WESTFIELD ST APT 32
FEEDING HILLS MA
01030-2740
US

V. Phone/Fax

Practice location:
  • Phone: 802-275-2655
  • Fax:
Mailing address:
  • Phone: 802-275-2655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberATL22302
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: