Individual provider Active NPI

Alyssa Kaschak, MOT, OTR/L

  • Occupational Therapist
  • Richardson, TX
National Provider Identifier
1205477197
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120311 Issued in TX
Practice address
1771 International Pkwy Ste 107
Richardson, TX 75081-1865
Phone
(972) 454-9309
Fax
(972) 338-9378
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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 120311 TX Primary

Addresses

Primary practice location

1771 International Pkwy Ste 107
Richardson, TX 75081-1865

Mailing address

PO Box 852647
Richardson, TX 75085-2647
Phone (972) 454-9309

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120311TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synaptic Pediatric Therapies, LLC. CurrentSince Dec 14, 2025 Accepting new patients
Synaptic Pediatric Therapies, LLC. PastSince Oct 6, 2019 Accepting new patients

Locations

1771 International Pkwy
Ste 107
Richardson, TX 75081
Phone (972) 521-6273

Organizations & group practices 2

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1205477197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852647",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750852647",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 INTERNATIONAL PKWY STE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811865",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASCHAK",
        "first_name": "ALYSSA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.