Alyssa Lee Moffitt, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

112405 Issued in TX

Practice address

901 Cypress Creek Rd
#102
Cedar Park, TX 78613-3998

Phone

(512) 551-5590

NPI assigned

Nov 29, 2016

Last updated

Nov 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Tulsa, OK
  • NPI 1598332173

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Lymphedema Specialists

  • Multi-Specialty Clinic/Center
  • Corpus Christi, TX
  • NPI 1437874591
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1144763715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CYPRESS CREEK RD",
            "address_2": "#102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133998",
            "telephone_number": "512-551-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CYPRESS CREEK RD",
            "address_2": "#102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133998",
            "telephone_number": "512-551-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "ALYSSA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ketakumari Mistry, PHARM. D. R.PH.
• Shalini Mittal, DDS
• Joda Kay Miura, LCSW
• Lori D Mock-Blair, PA-C
• Virginia Jane Mock, O.D.
• Javier Molina, RPH
• Iqra Momin
• Sabiha Akhtar Mondal, M.D
• Corah Mondro, APRN, ANCC PMHNP-BC
• Brianne Montemayor

• Occupational Therapist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.