Alissa Nowack

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

7241 University East Service Rd
Fridley, MN 55432

Phone

(763) 450-9400

NPI assigned

Jul 29, 2020

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Children'S Theraplay, LLC

  • Pediatric Occupational Therapist
  • Maplewood, MN
  • NPI 1215104393

  Pediatrics

  Medicare reassignment NPD
• Metro Therapy Special Children'S Clinic

  • Occupational Therapist
  • Fridley, MN
  • NPI 1568873388
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1417340126

  MN, Occupational Therapist

  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Savage, MN
  • NPI 1205643053

  Occupational Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1194334730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 UNIVERSITY EAST SERVICE RD",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-450-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 UNIVERSITY EAST SERVICE RD",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-450-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWACK",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Open Arm Mental Health
• Novacare Outpatient Rehabiliation East Inc
• Novacare Outpatient Rehabilitation East Inc
• Novacare Outpatient Rehabilitation East Inc
• Novacare Outpatient Rehabilitation East, Inc.
• Number One Home Health Care
• Bahja Osman Nur
• Hamdi Kamal Nur
• Chienyenwa N Nwachuku-Winful, MBBS
• Oasis Adult Day Center LLC

• Occupational Therapist in Fridley, MN
• Providers in Fridley, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.