Alisa Joan Vandomburg Scipio, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003409 Issued in CT

Practice address

1931 Black Rock Tpke
Rehabilitation Associates, Inc
Fairfield, CT 06825-3506

Phone

(203) 384-8681

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Alisa Joan Meyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236470400000",
    "number": "1326109737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 ALDEN AVE",
            "address_2": "1ST FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152112",
            "telephone_number": "203-507-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BLACK ROCK TPKE",
            "address_2": "REHABILITATION ASSOCIATES, INC",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253506",
            "telephone_number": "203-384-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDOMBURG SCIPIO",
        "first_name": "ALISA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003409",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014962",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VT",
            "license": "072-0000512",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NH",
            "license": "1828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "MEYER",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Van Winkle, CCC-SLP
• April Vanbergen, M.A., NCC, LPC
• Amy Susan Vanburen, PH.D.
• Peter Vandell, M.D.
• Adam Vandermolen
• Melanie Varian, BCABA
• Mary Jo Puglisi Vasquez, PH.D.
• Victor G Vaughan, PT
• Jack Vayner, DDS
• Irena Veksler-Offengenden, M.D.

• Occupational Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2009; 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.