Alyssa Ann Anderson, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Fargo, ND
NPI 1154876704 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1154876704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3561 (NM)
- Practice address
- 1720 University Dr S
Fargo, ND 58103-4940 - Phone
- (701) 280-4413
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3561 | NM | Yes |
Addresses
Primary practice location
1720 University Dr S
Fargo, ND 58103-4940
Mailing address
1202 Highway 60
Socorro, NM 87801-3914
Other providers in Fargo, ND
- Abigail Anderson
- Alesha Alina Anderson
- Alicia Ruth Anderson
- Alisha Leann Anderson
- Alysia Rose Anderson
- Amber Anderson
- Andrea Jean Anderson
- Bonnie Anderson
- Brad C Anderson
- Bradley Jon Anderson
All providers in Fargo, ND · Occupational Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2020. 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.