Provider Demographics
NPI:1790578748
Name:GOROSPE, ALLYSSA MARIE CASTILLO (PTA)
Entity type:Individual
Prefix:MRS
First Name:ALLYSSA MARIE
Middle Name:CASTILLO
Last Name:GOROSPE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11 BURLING LN APT 4H
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5674
Mailing Address - Country:US
Mailing Address - Phone:702-771-8645
Mailing Address - Fax:
Practice Address - Street 1:11 BURLING LN APT 4H
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5674
Practice Address - Country:US
Practice Address - Phone:702-771-8645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013765225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant