Individual provider Active NPI

Alyssa Aryana Gottheiner, OTD, OTR/L

  • Occupational Therapist
  • Spartanburg, SC
National Provider Identifier
1255258596
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7978 Issued in SC
Practice address
2400 Winchester PL
Spartanburg, SC 29301-1518
Phone
(864) 576-7188
Fax
(864) 576-8909
NPI assigned
Jun 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 7978 SC Primary

Addresses

Primary practice location

2400 Winchester PL
Spartanburg, SC 29301-1518

Mailing address

2058 Southlea Dr
Inman, SC 29349-8594

Other practice location 1

100 Willow Ln
Spartanburg, SC 29307-1365
Phone (864) 576-7188

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

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1255258596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 SOUTHLEA DR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293498594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WINCHESTER PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011518",
            "telephone_number": "864-576-7188",
            "fax_number": "864-576-8909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Willow Ln",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071365",
            "country_code": "US",
            "telephone_number": "864-576-7188",
            "fax_number": "864-576-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTHEINER",
        "first_name": "ALYSSA",
        "middle_name": "ARYANA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.