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

Alyssa Victoria Paquin

Individual provider Physical Therapist · NPI 1891514261

Alyssa Victoria Paquin is a Physical Therapist in Private Practice in Lodi, California. Qualified in 2024, 2 years ago. Practices with Golden Bear Physical Therapy Sports Injury Center Inc, a 83-clinician group. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

210 W Pine St
Lodi, CA 95240-2020
Phone: (209) 365-7867
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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 306968 (CA)

Record details

NPI number1891514261
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 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 Golden Bear Physical Therapy Sports Injury Center Inc — 83 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lodi