Individual provider Active NPI

Alyssa Mahoney, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Billings, MT
National Provider Identifier
1366115123
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
8508 Issued in MT
Practice address
1780 Shiloh Rd Ste B
Billings, MT 59106-1736
Phone
(406) 596-3105
Fax
(406) 656-1713
NPI assigned
Jul 28, 2021
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 8508 MT Primary

Addresses

Primary practice location

1780 Shiloh Rd Ste B
Billings, MT 59106-1736

Mailing address

119 W Maryland LN
Laurel, MT 59044-2041
Phone (406) 596-3105

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
8508MTMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoney Consulting LLC CurrentSince Sep 25, 2022 Accepting new patients
Destefano Consulting LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

1780 Shiloh Rd
Ste B
Billings, MT 59106
Phone (406) 596-3105

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1366115123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W MARYLAND LN",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590442041",
            "telephone_number": "406-596-3105",
            "fax_number": "406-656-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 SHILOH RD STE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591061736",
            "telephone_number": "406-596-3105",
            "fax_number": "406-656-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ALYSSA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MT",
            "license": "8508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.