Individual provider Active NPI

Jac Alyanakian, OTR/L

  • Occupational Therapist
  • Feasterville Trevose, PA
National Provider Identifier
1376234989
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC019044 Issued in PA
Practice address
210 E Street Rd Ste 2a
Feasterville Trevose, PA 19053-7680
Phone
(215) 344-2044
NPI assigned
May 16, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC019044 PA Primary

Addresses

Primary practice location

210 E Street Rd Ste 2a
Feasterville Trevose, PA 19053-7680

Mailing address

210 E Street Rd Ste 2a
Feasterville Trevose, PA 19053-7680

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
OC019044PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay, LLC Occupational Therapist Past Accepting new patients
Theraplay, LLC Past 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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1376234989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E STREET RD STE 2A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E STREET RD STE 2A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537680",
            "telephone_number": "215-344-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYANAKIAN",
        "first_name": "JAC",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.