Alysa Ruback, OTR
Individual provider Active NPI Occupational Therapist · Rivervale, NJ
NPI 1134498918 · NPPES record last updated Dec 22, 2011
Key facts
- NPI
- 1134498918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 005733-1 (NY)
- Practice address
- 607 Dale CT W
Rivervale, NJ 07675-5908 - Phone
- (201) 456-2577
- NPI assigned
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005733-1 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005733-1 | NY | Yes |
Addresses
Primary practice location
607 Dale CT W
Rivervale, NJ 07675-5908
Mailing address
607 Dale CT W
Rivervale, NJ 07675-5908
Other providers in Rivervale, NJ
- Montvale Home Products, Inc
- New Concepts for Living
- Chong C. Pak
- River Vale Chiropractic Center P. a.
- River Vale Pharmacy Inc
- Leslie Marshall Schloesser
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Group Homes Inc.
- William R. Levin DMD PA
All providers in Rivervale, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.