Provider Demographics
NPI:1538637251
Name:PAYNE, ALYSSA LYNN (DPT)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:LYNN
Last Name:PAYNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:LYNN
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:6555 SANGER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7585
Mailing Address - Country:US
Mailing Address - Phone:321-558-6855
Mailing Address - Fax:
Practice Address - Street 1:6555 SANGER RD STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7585
Practice Address - Country:US
Practice Address - Phone:321-558-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-12
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK219672225100000X
UTCP027287T225100000X
OHCP033028T225100000X
OKCP031644T225100000X
CAPT295739225100000X
TXCP011530T225100000X
WAPT60923832225100000X
OR65345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist