Alyssa Minick, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Mantua, OH
NPI 1336740661 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1336740661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT011222 (OH)
- Practice address
- 10600 Peck Rd
Mantua, OH 44255-9505 - Phone
- (330) 221-7634
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT011222 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Therapy & Sales Corp | Occupational Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT011222 | OH | Yes |
Addresses
Primary practice location
10600 Peck Rd
Mantua, OH 44255-9505
Mailing address
8245 Peck Rd
Ravenna, OH 44266-9772
Phone (330) 221-7634
Other names
- Alyssa Synek
Other providers in Mantua, OH
- Mantua-Shalersville Fire District
- Barbara Maraviglia
- Jessica Martin
- Mitchell Tyler McLean
- Christopher J Meyer
- Kara Lynn Mink
- Janis Mlinar
- Krystalyn K Nadrah
- Joseph R Pawlik
- Stephanie Persanyi
All providers in Mantua, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.