Individual provider Active NPI

Alyssa Centnarowicz, OTR/L

  • Occupational Therapist
  • Cape Coral, FL
National Provider Identifier
1073351730
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25415 Issued in FL
Practice address
1510 Hancock Bridge Pkwy Ste 6
Cape Coral, FL 33990-1715
Phone
(239) 478-7059
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 25415 FL Primary

Addresses

Primary practice location

1510 Hancock Bridge Pkwy Ste 6
Cape Coral, FL 33990-1715

Mailing address

808 Heather Lake Ave
Cape Coral, FL 33993-4513
Phone (847) 404-5851

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25415FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Homegrown Therapy SWFL Occupational Therapist PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1073351730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 HEATHER LAKE AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339934513",
            "telephone_number": "847-404-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HANCOCK BRIDGE PKWY STE 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901715",
            "telephone_number": "239-478-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTNAROWICZ",
        "first_name": "ALYSSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "25415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.