Alyssa Grace Herbaugh, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6401 Issued in TN

Practice address

131 Saundersville Rd Ste 160
Hendersonville, TN 37075-8940

Phone

(615) 488-8499

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1417609926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 RIVERCHASE BLVD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152061",
            "telephone_number": "973-970-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SAUNDERSVILLE RD STE 160",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758940",
            "telephone_number": "615-488-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBAUGH",
        "first_name": "ALYSSA",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Summerlyn Heying

• Occupational Therapist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.