Individual provider Active NPI

Allison C Boissey, OTR/L

  • Occupational Therapist
  • Monroe, NC
National Provider Identifier
1013020627
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5452 Issued in NC
Practice address
2814 Gray Fox Rd
Monroe, NC 28110-8422
Phone
(704) 821-0568
Fax
(704) 821-0570
NPI assigned
Aug 16, 2006
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5452 NC Primary

Addresses

Primary practice location

2814 Gray Fox Rd
Monroe, NC 28110-8422

Mailing address

2814 Gray Fox Rd
Monroe, NC 28110-8422
Phone (704) 821-0568

Other practice location 1

2425 Satchel Ln
Concord, NC 28027-2860
Phone (855) 360-9433

Other identifiers 1

IdentifierTypeStateIssuer
7301944MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026002128 NC Practitioner - Occupational Therapist in Private Practice 4587030945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5452NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidology, Inc Occupational Therapist CurrentSince Sep 26, 2022 Accepting new patients
Pediatric Boulevard, PLLC Occupational Therapist Past Accepting new patients
Achieve Pediatric Therapy VA LLC Occupational Therapist Past Accepting new patients
Lifetouchtherapy, PLLC Occupational Therapist Past Accepting new patients

Locations

1244 N Flint St
Lincolnton, NC 28092
Phone (704) 740-0676

711 W Independence Blvd
Mount Airy, NC 27030
Phone (855) 983-0488

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1013020627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 GRAY FOX RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108422",
            "telephone_number": "704-821-0568",
            "fax_number": "704-821-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 GRAY FOX RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108422",
            "telephone_number": "704-821-0568",
            "fax_number": "704-821-0570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Satchel Ln",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280272860",
            "country_code": "US",
            "telephone_number": "855-360-9433",
            "fax_number": "704-793-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOISSEY",
        "first_name": "ALLISON",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301944",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.