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

Alyssa Andres

Individual provider Physical Therapist · NPI 1760216360

Alyssa Andres is a Physical Therapist in Private Practice in South Lake Tahoe, California. Qualified in 2024, 2 years ago. Practices with PT Revolution Physical Therapy PC, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024

Practice location Address checks out

2038 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6499
Phone: (530) 208-9910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 306376 (CA)

Record details

NPI number1760216360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pt Revolution Physical Therapy Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Lake Tahoe