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

Alyssa Daniele Antonicello

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1003625492

Alyssa Daniele Antonicello is a Physical Medicine & Rehabilitation Physician in Cumming, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2030 Barrett Downs Dr
Cumming, GA 30040-9657
Phone: (859) 338-2772
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 013299 (GA)

Record details

NPI number1003625492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 31, 2024
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address2030 Barrett Downs Dr, Cumming, GA 30040-9657

Other providers in Cumming