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

Alyssa Victoria Paquin

Individual provider Physical Therapist · NPI 1891514261

Alyssa Victoria Paquin is registered under 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

Practice location Address checks out

210 W Pine St
Lodi, CA 95240-2020
Phone: (209) 365-7867
Show map & directions

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 150 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Golden Bear Physical Therapy Sports Injury Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 83 clinicians in the practice; 12 are shown here.

Other providers in Lodi