Allyssa Space, is a
Specialist/technologist - Athletic Trainer based in Pittsburgh, Pennsylvania. Allyssa Space is licensed to practice in Pennsylvania (license number ) and her current practice location is
107 Woodland Rd, Pittsburgh, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(412) 365-1100.
NPI number for Allyssa Space is 1164383717 and her current mailing address is 2716 Jane St Apt 2, Pittsburgh, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164383717.
Healthcare Provider's Profile
| Full Name | Allyssa Space |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 107 Woodland Rd, Pittsburgh, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164383717
- Provider Enumeration Date: 11/22/2025
- Last Update Date: 11/22/2025
Medical Identifiers
Medical identifiers for Allyssa Space such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164383717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Pennsylvania) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (Pennsylvania) | 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. Allyssa Space 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 |
Allyssa Space, 2716 Jane St Apt 2, Pittsburgh, PA 15203-2396 Ph: () - | Allyssa Space, 107 Woodland Rd, Pittsburgh, PA 15232-2871 Ph: (412) 365-1100 |
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