ALYSSA CHARBONNEAU PT
NPI 1558856005
Physical Therapist in Fort Collins, CO

Active since June 27, 2018
2001 S SHIELDS ST STE A1, FORT COLLINS, CO 80526(970) 797-2431(970) 797-2509 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2021, Jun 27, 2018 (2 updates tracked since 2018).

About Alyssa Charbonneau Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA CHARBONNEAU PT (NPI 1558856005) is an individual physical therapist in Fort Collins, Colorado, licensed in Colorado (PTL.0017629) and active in the NPI registry since June 2018. She maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1558856005
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameALYSSA CHARBONNEAUCredential: PT
Location Address2001 S SHIELDS ST STE A1Fort Collins, CO 80526-1828
Mailing Address2001 S Shields St Ste A1Fort Collins, CO 80526-1828 · (970) 797-2431
Fax(970) 797-2509
Sole ProprietorNo
Enumeration DateJune 27, 2018
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1558856005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in CO · PTL.0017629✔ Licensed in AZ · LPT-30116
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2001 S SHIELDS ST STE A1, Fort Collins, CO 80526

Secondary Practice Location 1

Location 118301 N 79th Ave Ste B122Glendale, AZ 85308-8469 · Phone (623) 486-3333

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Charbonneau Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alyssa Charbonneau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
1939 WILMINGTON DR, SUITE 101
Fort Collins, CO 80528
  • Reassigned Medicare billing, Colorado enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2001 S SHIELDS ST STE A1
FORT COLLINS, CO 80526
Clinic/Center (Physical Therapy)
2001 S SHIELDS ST STE A1
FORT COLLINS, CO 80526
Physical Therapist
2001 S SHIELDS ST STE A1
FORT COLLINS, CO 80526
Physical Therapist
2001 S SHIELDS ST STE A1
FORT COLLINS, CO 80526
Physical Therapist
2001 S SHIELDS ST STE A1
FORT COLLINS, CO 80526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Charbonneau's NPI number?

The NPI number for Alyssa Charbonneau is 1558856005. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Alyssa Charbonneau located?

Alyssa Charbonneau practices at 2001 S Shields St Ste A1, Fort Collins, CO 80526. The listed phone number is (970) 797-2431.

What is Alyssa Charbonneau's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Alyssa Charbonneau enrolled in Medicare?

Yes. Alyssa Charbonneau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyssa Charbonneau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Charbonneau reassigns Medicare benefits to Momentum Physical Therapy PC (Fort Collins, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Charbonneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alyssa Charbonneau was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.