IndividualActive
Alyssa Carter, PTA
NPI 1245805027 · Physical Therapy Assistant · St Charles, IL
Provider details
- NPI number
- 1245805027
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160.006494 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4058 E Main St
St Charles, IL 60174-5202
Phone: (630) 793-4464
Approximate (ZIP-level) locationGet directions
Mailing address
619 S 5th Ave
St Charles, IL 60174-2929
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2021-05-24
- Certified
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.