Alyssa Chestnut

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056016392 Issued in IL

Practice address

836 Centennial Way Ste 160
Lansing, MI 48917-8238

Phone

(517) 798-3677

Fax

(517) 539-6764

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Individualized Quality Therapy LLC 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Individualized Quality Therapy LLC

  • Occupational Therapist
  • Lansing, MI
  • NPI 1275090268

  MI, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Orthopedic & Shoulder Center, S.C.

  • Orthopaedic Surgery Physician
  • Normal, IL
  • NPI 1437453073
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1346052263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 CENTENNIAL WAY STE 160",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178238",
            "telephone_number": "517-798-3677",
            "fax_number": "517-539-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 CENTENNIAL WAY STE 160",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178238",
            "telephone_number": "517-798-3677",
            "fax_number": "517-539-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056016392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Cheetham, OT
• Michelle Chen
• Roger Dean Cheney, DDS
• Surya Teja Chennupati, DO
• Melvin Cherry, MD
• Chiaravalli & Maxson DDS, PLLC
• Peter Carmen Chiaravalli, DDS
• Chic Home Care L.L.C.
• Douglas Chidester, DC
• Child and Family Charities

• All providers in Lansing, MI
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.