Alyssa Lyn Decicco

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TOC102656 Issued in PA

Practice address

2 Gracedale Ave
Nazareth, PA 18064-8785

Phone

(610) 746-1908

Fax

(610) 746-1992

NPI assigned

Jun 24, 2013

Last updated

Jun 24, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Therapeutics Physical Therapy Part A, PLLC

  • Physical Therapist
  • Port Chester, NY
  • NPI 1396057881
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1225477128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GRACEDALE AVE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648785",
            "telephone_number": "610-746-1908",
            "fax_number": "610-746-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRACEDALE AVE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648785",
            "telephone_number": "610-746-1908",
            "fax_number": "610-746-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECICCO",
        "first_name": "ALYSSA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "TOC102656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene A. Dacayana, OTR/L
• David H. Warner, D.P.M., II, LLC
• David P. Zambo, D.O., LLC
• Jaleesa Davis
• Elizabeth Rachel Deboer Kreider, PH.D.
• Mary Grace Decker, M.ED., CCC-SLP
• Joseph Deflores
• Dorothy L Deihl, LCSW
• Blaise Michael Delfino, M.S.-HIS
• Cheryl Ann Delfino, B.A.-HIS

• Occupational Therapist in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.