Individual provider Active NPI

Alissah Brianne Mosack, OTR/L

  • Occupational Therapist
  • Utica, NY
National Provider Identifier
1093167983
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2513 Sunset Ave
Utica, NY 13502-5851
Phone
(315) 797-6241
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 Primary

Addresses

Primary practice location

2513 Sunset Ave
Utica, NY 13502-5851

Mailing address

2513 Sunset Ave
Utica, NY 13502-5851
Phone (315) 797-6241

Other practice location 1

19 Robinson Rd
Clinton, NY 13323-1418
Phone (800) 853-6104

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2513 Sunset Ave
Utica, NY 13502-5825

PO Box
Suite 340
New Hartford, NY 13413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelberman Center, Inc CurrentSince Aug 25, 2025 Accepting new patients

Locations

430 Court St
Ste 140
Utica, NY 13502

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1093167983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025851",
            "telephone_number": "315-797-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025851",
            "telephone_number": "315-797-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Robinson Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NY",
            "postal_code": "133231418",
            "country_code": "US",
            "telephone_number": "800-853-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSACK",
        "first_name": "ALISSAH",
        "middle_name": "BRIANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.