Active NPI
Alyssa Boardway
- Occupational Therapist
- Warren, RI
National Provider Identifier
1275010936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT01732
- Practice address
- 642 Metacom Ave
Warren, RI 02885-2350 - Phone
- (401) 245-2860
- NPI assigned
- Jul 25, 2018
- Last updated
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT01732 | RI | Primary |
Addresses
Primary practice location
642 Metacom Ave
Warren, RI 02885-2350
Mailing address
374 Lloyd Ave Apt 10
Providence, RI 02906-4261
Phone (413) 313-6170
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT01732 | RI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1275010936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 LLOYD AVE APT 10",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064261",
"telephone_number": "413-313-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 METACOM AVE",
"city": "WARREN",
"state": "RI",
"postal_code": "028852350",
"telephone_number": "401-245-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOARDWAY",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.