Individual provider Active NPI

Alyssa Williams, OTR/L

  • Occupational Therapist
  • Morgantown, WV
National Provider Identifier
1407372659
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015434 Issued in PA
Practice address
6 Edwin St
Morgantown, WV 26501-8505
Phone
(042) 920-1733
NPI assigned
Aug 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2099 WV
Occupational Therapist 225X00000X OC015434 PA Primary

Addresses

Primary practice location

6 Edwin St
Morgantown, WV 26501-8505

Mailing address

6 Edwin St
Morgantown, WV 26501-8505
Phone (304) 292-0173

Other identifiers 1

IdentifierTypeStateIssuer
FJB26210285MOtherBLUE CROSS BLUE SHIELD ANTHEM

Other names 1

  • Alyssa Rea Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address playworksbilling@comcast.net

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
OC015434PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Playworks LLC Occupational Therapist PastSince May 24, 2020 Accepting new patients
Playworks LLC PastSince May 24, 2020 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": "1503100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1407372659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EDWIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265018505",
            "telephone_number": "304-292-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EDWIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265018505",
            "telephone_number": "042-920-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALYSSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2099",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ANTHEM",
            "identifier": "FJB26210285M",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "playworksbilling@comcast.net",
            "affiliation": "N",
            "address_1": "6 Edwin St",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265018505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "REA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.