Individual provider Active NPI

Alyssa Nicole Dumlao

  • Occupational Therapist
  • Yonkers, NY
National Provider Identifier
1356081020
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
026957 Issued in NY
Practice address
1156 N Broadway
Yonkers, NY 10701-1108
Phone
(914) 965-3700
NPI assigned
Mar 31, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 114690-1 NY
Occupational Therapist 225X00000X 026957 NY Primary

Addresses

Primary practice location

1156 N Broadway
Yonkers, NY 10701-1108

Mailing address

1 Skyline Dr Ste 298
Hawthorne, NY 10532-2157

Other practice location 1

18 Tuckahoe Rd
Yonkers, NY 10710-5319
Phone (914) 377-8800

Other practice location 2

1 Skyline Dr Ste 298
Hawthorne, NY 10532-2157
Phone (914) 347-5990

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

State licenses

LicenseStateTypeSpecialty
114690-1NYMDOccupational Therapy Assistant
026957NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidabilities LLC PastSince Apr 1, 2022 Accepting new patients
Kidabilities, LLC PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1356081020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SKYLINE DR STE 298",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Tuckahoe Rd",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107105319",
            "country_code": "US",
            "telephone_number": "914-377-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Skyline Dr Ste 298",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NY",
            "postal_code": "105322157",
            "country_code": "US",
            "telephone_number": "914-347-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMLAO",
        "first_name": "ALYSSA NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "114690-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.