| Alyssa Kievit, PT, DPT | |
|
15 Godwin Ave, Ridgewood, NJ 07450-3739 | |
| (201) 497-0117 | |
| Not Available |
| Full Name | Alyssa Kievit |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 15 Godwin Ave, Ridgewood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194373803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 40QA01880500 (New Jersey) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Aim Orthopedics Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1376043901 PECOS PAC ID: 2668720145 Enrollment ID: O20180731000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Kievit, PT, DPT 15 Godwin Ave, Ridgewood, NJ 07450-3739 Ph: (201) 497-0117 | Alyssa Kievit, PT, DPT 15 Godwin Ave, Ridgewood, NJ 07450-3739 Ph: (201) 497-0117 |
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