Individual provider Active NPI

Ma. Alyssa Felicia Adorable, COTA/L

  • Occupational Therapy Assistant
  • Westlake Village, CA
National Provider Identifier
1104403856
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5507 Issued in CA
Practice address
2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726
Phone
(805) 413-3009
NPI assigned
Mar 27, 2021
Last updated
Mar 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5507 CA Primary

Addresses

Primary practice location

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726

Mailing address

8932 Etiwanda Ave
Northridge, CA 91325-2711
Phone (818) 813-0203

Other names 1

  • Alyssa Adorable Professional name

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
5507CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1104403856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 ETIWANDA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252711",
            "telephone_number": "818-813-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615726",
            "telephone_number": "805-413-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADORABLE",
        "first_name": "MA. ALYSSA",
        "middle_name": "FELICIA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "ADORABLE",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.