Physician Compare National (NPI:1801453386)

HEALTHCARE PROVIDER: ALYSSON DORISSA FLYNN PT, DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801453386
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820422157
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191219002018
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FLYNN
	Individual professional last name
Provider First Name	ALYSSON
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PHOEBE CORPORATE AND COMMUNITY BASED SERVICES, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2961668157
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1 READING DR
	Group Practice or individual's line 1 address
City	WERNERSVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	195652018
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y