Individual provider Active NPI

Alyssa Mariz Lalic Liwanag, MA, OTR/L

  • Occupational Therapist
  • Jackson Heights, NY
National Provider Identifier
1255916284
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3521 81St St Apt 5C
Jackson Heights, NY 11372-5071
Phone
(646) 384-6271
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3521 81St St Apt 5C
Jackson Heights, NY 11372-5071

Mailing address

3521 81St St Apt 5C
Jackson Heights, NY 11372-5071
Phone (646) 384-6271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518002252 NY Practitioner - Occupational Therapist in Private Practice 5395101265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Visiting Therapy Service PT OT and SLP PLLCGroup PAC ID 7810373719, 3 clinicians

Practice addresses (Care Compare)

1840 E 14TH St
Brooklyn, NY 11229-2800
Phone (929) 505-9727

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Therapy Service PT OT & SLP PLLC Single Specialty CurrentSince May 20, 2025 Accepting new patients
Eleyinafe Medical Care PC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
New Concept Rehabilitation Medicine PC Single Specialty CurrentSince Apr 10, 2025 Accepting new patients

Locations

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

1840 E 14th St
Brooklyn, NY 11229
Phone (347) 286-1383

18515 HL Side Ave
Jamaica, NY 11432
Phone (718) 262-8651

7907 Metropolitan Ave
Middle Vlg, NY 11379
Phone (347) 286-1383

Organizations & group practices 3

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1255916284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 81ST ST APT 5C",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725071",
            "telephone_number": "646-384-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 81ST ST APT 5C",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725071",
            "telephone_number": "646-384-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIWANAG",
        "first_name": "ALYSSA MARIZ",
        "middle_name": "LALIC",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.