Alyssa Cantrell, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324

Phone

(858) 505-9083

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1184389264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 OLD QUARRY RD APT 1228",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082757",
            "telephone_number": "209-777-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 CHESAPEAKE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231324",
            "telephone_number": "858-505-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 W Shaw Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113334",
            "country_code": "US",
            "telephone_number": "910-055-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "ALYSSA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1871655225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Judas Canton, IDC US NAVY
• Jessica Cantone
• Robert Gordon Cantonwine, DDS
• Eva Louise Cantor
• Zoe A. Cantor, PA-C
• Baylee Cantrell
• Patricia E. Cantrell, MD
• Gabriela Maria Cantu-Reyna, LCSW
• Alicia Olivia Cantu, M.D.
• Carlos Cantu

• Pediatric Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.