Alyssa Jacqueline Bovy, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

9 14TH Ave W
Polson, MT 59860-5321

Phone

(406) 883-4377

NPI assigned

Dec 6, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: abovy660289@excellian.direct.allina.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2019.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1104463264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 154TH LN NW",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553036417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 14TH AVE W",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598605321",
            "telephone_number": "406-883-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVY",
        "first_name": "ALYSSA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224Z00000X",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "224Z00000X",
            "affiliation": "N",
            "endpointDescription": "Code",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 14th Ave W",
            "city": "Polson",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598605321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Polson, MT
• Occupational Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.