Alyssa Daniele Antonicello, is a
Physical Therapist physician based in Cumming, Georgia. Alyssa Daniele Antonicello is licensed to practice in * (Not Available) (license number ) and her current practice location is 2030 Barrett Downs Dr, Cumming, Georgia. She can be reached at her office (for appointments etc.) via phone at
(859) 338-2772.
NPI number for Alyssa Daniele Antonicello is 1003625492 and her current mailing address is 2030 Barrett Downs Dr, Cumming, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003625492.
Physician's Profile
| Full Name | Alyssa Daniele Antonicello |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 2030 Barrett Downs Dr, Cumming, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003625492
- Provider Enumeration Date: 12/31/2024
- Last Update Date: 01/08/2025
Medical Identifiers
Medical identifiers for Alyssa Daniele Antonicello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003625492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 013299 (Georgia) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Daniele Antonicello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alyssa Daniele Antonicello,
2030 Barrett Downs Dr,
Cumming, GA 30040-9657
Ph: (859) 338-2772 | Alyssa Daniele Antonicello,
2030 Barrett Downs Dr,
Cumming, GA 30040-9657
Ph: (859) 338-2772 |
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