Alyssa Renee Okun, PT, DPT
Individual provider Active NPI Physical Therapist · Maynard, MA
NPI 1013222033 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1013222033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 18572 (MA)
- Practice address
- 189 Parker St
Maynard, MA 01754-2133 - Phone
- (617) 308-0713
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18572 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Brain Body Synergy LLC | Current |
Accepting new patients |
Interoperability endpoints
- aokun11571@direct.bmc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18572 | MA | Yes |
Addresses
Primary practice location
189 Parker St
Maynard, MA 01754-2133
Mailing address
189 Parker St
Maynard, MA 01754-2133
Phone (617) 308-0713
Other practice location 1
40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000
Other providers in Maynard, MA
- Harriet Nalumansi
- Nexus Dental, PC
- Jodie Nierintz
- Kevin Travers Nuttall
- Heather Eileen O'Brien
- Michelle Olsen-Petty
- Kelsey Parker Von Jess
- Rosemary Parker
- Toral Patel
- Carrie Serjeant Perez
All providers in Maynard, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.