Individual provider Active NPI

Alyssa Nicole Kamal, MS OTR/L

  • Occupational Therapist
  • Plantation, FL
National Provider Identifier
1316228612
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 14552 Issued in FL
Practice address
447 NW 73Rd Ave
Plantation, FL 33317-1608
Phone
(954) 583-7383
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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 OT 14552 FL Primary

Addresses

Primary practice location

447 NW 73Rd Ave
Plantation, FL 33317-1608

Mailing address

447 NW 73Rd Ave
Plantation, FL 33317-1608
Phone (954) 583-7383

Other identifiers 2

IdentifierTypeStateIssuer
OT 14552OtherFLSTATE OF FLORIDA
004136700MedicaidFL

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 14552FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1316228612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 NW 73RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171608",
            "telephone_number": "954-583-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 NW 73RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171608",
            "telephone_number": "954-583-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 14552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "OT 14552",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004136700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.