Provider Demographics
NPI:1952682866
Name:PEYTON, ALYSSIA M (PT)
Entity Type:Individual
Prefix:
First Name:ALYSSIA
Middle Name:M
Last Name:PEYTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484B WASHINGTON ST
Mailing Address - Street 2:STE 322
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-771-9494
Mailing Address - Fax:831-771-9484
Practice Address - Street 1:945 S MAIN ST
Practice Address - Street 2:STE 101
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2400
Practice Address - Country:US
Practice Address - Phone:831-771-9494
Practice Address - Fax:831-771-9484
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT37816225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPENDINGMedicare PIN