MEDICARE: ALYSON CAVANAUGH PT

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	J1-0002087	DE
2	225100000X	Physical Therapist	34466	CA

General Provider Information

NPI Number	:	1295856326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON CAVANAUGH PT

Provider Business Mailing Address
First Line	:	PSC 819 BOX 2866
Second Line	:
City	:	FPO
State	:	AE
Zip	:	09645-0029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 819 BOX 18
Second Line	:
City	:	FPO
State	:	AE
Zip	:	09645-0001
Country	:	US
Telephone Number	:	314-727-4029
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	01/16/2026

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Directions to “ ALYSON CAVANAUGH PT” Practice Location

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