Individual provider Active NPI

Alyssa Yniguez, OTR/L

  • Occupational Therapist
  • Marlton, NJ
National Provider Identifier
1154039717
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01090800 Issued in NJ
Practice address
544 Lippincott Dr
Marlton, NJ 08053-4806
Phone
(856) 810-5777
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 46TR01090800 NJ Primary

Addresses

Primary practice location

544 Lippincott Dr
Marlton, NJ 08053-4806

Mailing address

101 Barclay Walk
Cherry Hill, NJ 08034-2108
Phone (856) 701-9910

Other practice location 1

168 Franklin Corner Rd
Lawrence Township, NJ 08648-2529
Phone (609) 299-1279

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Care Specialty Group PC CurrentSince Sep 7, 2022 Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1154039717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BARCLAY WALK",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342108",
            "telephone_number": "856-701-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534806",
            "telephone_number": "856-810-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Franklin Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrence Township",
            "state": "NJ",
            "postal_code": "086482529",
            "country_code": "US",
            "telephone_number": "609-299-1279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YNIGUEZ",
        "first_name": "ALYSSA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01090800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.