Active NPI
Alysia Egan, ATC, OTR/L
- Occupational Therapist
- Oceanport, NJ
National Provider Identifier
1407102841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 14 Bridgewaters Dr
Oceanport, NJ 07757-1162 - Phone
- (732) 542-6600
- NPI assigned
- Aug 2, 2012
- Last updated
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 46TR00590100 | NJ | |
| Occupational Therapist | 225X00000X | NJ | Primary |
Addresses
Primary practice location
14 Bridgewaters Dr
Oceanport, NJ 07757-1162
Mailing address
204 Elizabeth Ave
Toms River, NJ 08753-7122
Phone (732) 674-7115
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00590100 | NJ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1407102841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 ELIZABETH AVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537122",
"telephone_number": "732-674-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 BRIDGEWATERS DR",
"city": "OCEANPORT",
"state": "NJ",
"postal_code": "077571162",
"telephone_number": "732-542-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "ALYSIA",
"name_prefix": "Mrs.",
"credential": "ATC, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00590100",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanport, NJ
- Therese Marie Cresanti-Daknis, PH.D.
- D and D Pharmacy (Oceanport Pharmacy)
- D and D Pharmacy (Oceanport Pharmacy)
- Danielle Florence Dalessio, PA
- Sarah Dorn, MA, CCC
- Energize Your Life, LLC (Energize Your Life)
- Kathleen Finch, LCSW
- First Medical Management
- Lauren Labrecque Gallagher, OTR
- Jodi Gardner, OTRL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.