Alyssa Anne Proulx, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010201 Issued in NY

Practice address

159 W 1St St
Oswego, NY 13126-2045

Phone

(315) 342-9575

NPI assigned

Aug 11, 2019

Last updated

Aug 11, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1174179782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 PERFIELD RD",
            "city": "HASTINGS",
            "state": "NY",
            "postal_code": "130763127",
            "telephone_number": "518-925-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262045",
            "telephone_number": "315-342-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROULX",
        "first_name": "ALYSSA",
        "middle_name": "ANNE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Pritchard
• Bridget Faye Pritchard, CCC/SLP-L
• Ivan G. Proano, MD
• Rebekah Proia, COTA
• Marlene F Proietta, COTA11
• Kelli Proulx, M.S. CCC-SLP
• Tanya Lee Proulx, SPEECH THERAPIST
• Jessica Pruner, MSW
• Kristy Pryor
• Sheila Marie Pullen, NURSE

• Occupational Therapy Assistant in Oswego, NY
• Providers in Oswego, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.