Individual provider Active NPI

Alyssa Rae Coco, OTR/L

  • Occupational Therapist
  • Elkhart, IN
National Provider Identifier
1073125100
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007983A Issued in IN
Practice address
2310 California Rd
Elkhart, IN 46514-1228
Phone
(574) 264-0791
NPI assigned
Aug 19, 2020
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NU
Occupational Therapist 225X00000X 31007983A IN Primary

Addresses

Primary practice location

2310 California Rd
Elkhart, IN 46514-1228

Mailing address

8 N Texas Ave
Greenville, SC 29611-5034

Other names 1

  • Alyssa Rae Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
59.71
Promoting interoperability
90
Improvement activities
40
Cost
88.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5815SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince Feb 13, 2023 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana Inc CurrentSince Feb 13, 2023 Accepting new patients
ASC Surgical Ventures, LLC Past Accepting new patients

Locations

1720 Fulton St
Elkhart, IN 46514

2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791

2310 California Rd
Ste A
Elkhart, IN 46514
Phone (574) 206-1401

1775 E Kercher Rd
Goshen, IN 46526
Phone (574) 533-0300

Organizations & group practices 3

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1073125100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N TEXAS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCO",
        "first_name": "ALYSSA",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007983A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "COLLINS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.