Active NPI
Alyssa Rose Slaker, OTRL
- Occupational Therapist
- Ypsilanti, MI
National Provider Identifier
1285393256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201012706
- Practice address
- 850 S Hewitt Rd Ste W
Ypsilanti, MI 48197-4594 - Phone
- (734) 554-5561
- NPI assigned
- Dec 16, 2021
- Last updated
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201012706 | MI | Primary |
Addresses
Primary practice location
850 S Hewitt Rd Ste W
Ypsilanti, MI 48197-4594
Mailing address
9271 Westbury Ave
Plymouth, MI 48170-4729
Phone (734) 679-1550
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Autism Pediatric Medical Centers PLLC | Current | Accepting new patients |
Locations
850 S Hewitt Rd
Ste W
Ypsilanti, MI 48197
Phone (734) 554-5561
Interoperability endpoints
- arborautism.alyssa.dillon@150980.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Developmental - Behavioral Pediatrics Physician
- Ypsilanti, MI
- NPI 1891451035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1285393256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9271 WESTBURY AVE",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704729",
"telephone_number": "734-679-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S HEWITT RD STE W",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481974594",
"telephone_number": "734-554-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAKER",
"first_name": "ALYSSA",
"middle_name": "ROSE",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-16",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201012706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.