ALYSSA ANDRES – Physical Therapist, NPI 1760216360

ALYSSA ANDRES is a healthcare provider. based in South lake tahoe, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 306376 (CA). The NPI Number for ALYSSA ANDRES is 1760216360

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA ANDRES
NPI
1760216360
Phone
Not provided
Address
2038 LAKE TAHOE BLVD
Enumeration Date
27 August 2024
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302089910
Graduation Year
2024 (2 years ago)
PAC ID
3971035825
Group Practice PAC ID
5092174987
Professional Enrollment ID
I20241016002141
Address ID
CA961506499SO2038XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for ALYSSA ANDRES

  • 2038 LAKE TAHOE BLVD

    SOUTH LAKE TAHOE, CA 961506499

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241016002141IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092174987View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I verify ALYSSA ANDRES with an NPI only?
You can start verification with NPI 1760216360 for ALYSSA ANDRES, then check state licensing separately.
Is ALYSSA ANDRES listed as active for patients and plans?
The listing shows ALYSSA ANDRES as active in the NPI system.
What is ALYSSA ANDRES's primary classification?
Physical Therapist is the headline specialty for ALYSSA ANDRES here. Clinical services aligned with this taxonomy classification.
What address line appears for ALYSSA ANDRES?
ALYSSA ANDRES's geographic hint is South Lake Tahoe, California in our summary view.
Why does ALYSSA ANDRES have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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