Individual provider Active NPI

Alyssa Marie Demonte, OTR/L

  • Occupational Therapist
  • Guilford, CT
National Provider Identifier
1114748399
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
005627 Issued in CT
Practice address
705 Boston Post Rd Ste 5a
Guilford, CT 06437-2733
Phone
(203) 458-1645
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 005627 CT Primary

Addresses

Primary practice location

705 Boston Post Rd Ste 5a
Guilford, CT 06437-2733

Mailing address

21 Summit PL Apt 302
Branford, CT 06405-4128
Phone (631) 338-9325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118003429 CT Practitioner - Occupational Therapist in Private Practice 8325573025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Specialists of Guilford, LLCGroup PAC ID 8820263759, 13 clinicians

Practice addresses (Care Compare)

705 Boston Post Rd
Suite 5a
Guilford, CT 06437-2733
Phone (203) 458-1645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005627CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialists CurrentSince Dec 1, 2024 Accepting new patients
Physical Therapy Specialists PastSince Oct 27, 2024 Accepting new patients

Locations

705 Boston Post Rd
Ste 5A
Guilford, CT 06437
Phone (203) 458-1645

840 Boston Post Rd
#200
Old Saybrook, CT 06475
Phone (203) 458-1645

Organizations & group practices 2

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1114748399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SUMMIT PL APT 302",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054128",
            "telephone_number": "631-338-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD STE 5A",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372733",
            "telephone_number": "203-458-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMONTE",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "005627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.