ALYSSA AZAN – Physical Therapist, NPI 1467015453

ALYSSA AZAN is a healthcare provider. based in Norfolk, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 3923 (NE). The NPI Number for ALYSSA AZAN is 1467015453

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA AZAN
NPI
1467015453
Phone
Not provided
Address
3200 RAASCH DR
Enumeration Date
16 April 2019
Last Update Date
16 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
4023712722
Graduation Year
2014 (12 years ago)
PAC ID
6507109659
Group Practice PAC ID
8729049366
Professional Enrollment ID
I20190514000313
Address ID
NE687013455NO3200XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

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Provider Addresses for ALYSSA AZAN

  • Raasch Drive, Norfolk, Madison County, Nebraska, United States

    NORFOLK, NE 687013455

    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: 2019-05-14

PECOS data refreshed: 2026-05-27

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
I20190514000313IPhysical Therapist In Private PracticeNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,03751$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31440$0
97140Therapy procedure using manual technique, each 15 minutes24830$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14517$0
97162Evaluation for physical therapy, typically 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 68701)

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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: 8729049366View full group profile
NameSpecialtyState
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

Can I use this page to confirm ALYSSA AZAN's NPI?
Yes. ALYSSA AZAN is listed with NPI 1467015453 in the public NPI dataset.
Can I rely on ALYSSA AZAN being an active provider?
As of the registry snapshot, ALYSSA AZAN is marked active.
What is ALYSSA AZAN's primary classification?
Physical Therapist is the headline specialty for ALYSSA AZAN here. Clinical services aligned with this taxonomy classification.
Where is ALYSSA AZAN based?
ALYSSA AZAN is tied to Norfolk, Nebraska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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