Individual provider Active NPI

Alyssa Claire Wood, COTA/L

  • Occupational Therapy Assistant
  • Troy, MI
National Provider Identifier
1366165243
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202009968 Issued in MI
Practice address
675 E Big Beaver Rd Ste 201
Troy, MI 48083-1428
Phone
(248) 817-2484
Fax
(248) 457-5490
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202009968 MI Primary

Addresses

Primary practice location

675 E Big Beaver Rd Ste 201
Troy, MI 48083-1428

Mailing address

675 E Big Beaver Rd Ste 201
Troy, MI 48083-1428
Phone (248) 817-2484

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.therabill.com

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
5202009968MIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Advantage LLC CurrentSince Oct 2, 2022 Accepting new patients
Peds Speech LLC PastSince Oct 2, 2022 Accepting new patients

Locations

675 E Big Beaver Rd
Ste 201
Troy, MI 48083
Phone (248) 457-8888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1366165243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 E BIG BEAVER RD STE 201",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831428",
            "telephone_number": "248-817-2484",
            "fax_number": "248-457-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E BIG BEAVER RD STE 201",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831428",
            "telephone_number": "248-817-2484",
            "fax_number": "248-457-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ALYSSA",
        "middle_name": "CLAIRE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202009968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.therabill.com",
            "affiliation": "N",
            "address_1": "675 E Big Beaver Rd Ste 201",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480831428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.