Provider Demographics
NPI:1124495981
Name:DIBIASI, ALANNA (DPT)
Entity type:Individual
Prefix:MISS
First Name:ALANNA
Middle Name:
Last Name:DIBIASI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11675 JOLLYVILLE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4105
Mailing Address - Country:US
Mailing Address - Phone:512-856-1000
Mailing Address - Fax:512-856-4040
Practice Address - Street 1:11675 JOLLYVILLE RD STE 151
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4149
Practice Address - Country:US
Practice Address - Phone:512-856-1000
Practice Address - Fax:512-856-4040
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT0246392251X0800X, 225100000X
TX12773632081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic