Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyse Ann Widger, DPT

Individual provider Physical Therapist · NPI 1104198431

Alyse Ann Widger, DPT is a Physical Therapist in Private Practice in Meadville, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Lakeside Physical Therapy and Wellness LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
15
Licensed in
FL, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

455 Chestnut St
Meadville, PA 16335-4404
Phone: (814) 547-6510
Fax: (814) 547-6511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT024250 (PA)
Physical Therapist Taxonomy 225100000X · Licence PT26514 (FL)

Record details

NPI number1104198431
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 2, 2012
Last updated in NPPESAugust 9, 2016
Mailing address1257 Carmont Dr, Meadville, PA 16335-2822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lakeside Physical Therapy And Wellness Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meadville