Individual provider Active NPI

Alysa Marie Polley, OTD, OTR/L

  • Occupational Therapist
  • Clarksville, TN
National Provider Identifier
1447136908
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8432 Issued in TN
Practice address
461 Pond Apple Rd
Clarksville, TN 37043-2208
Phone
(931) 920-4333
NPI assigned
Aug 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 8432 TN Primary

Addresses

Primary practice location

461 Pond Apple Rd
Clarksville, TN 37043-2208

Mailing address

307 Longshadow TRL Unit a
Clarksville, TN 37043-8084

Other names 1

  • Alysa Marie Moore Former name

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
8432TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Pointe Rehab LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

298 Warfield Blvd
Apt C
Clarksville, TN 37043
Phone (931) 906-0440

461 Pond Apple Rd
Clarksville, TN 37043
Phone (931) 920-4333

Organizations & group practices 1

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1447136908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LONGSHADOW TRL UNIT A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 POND APPLE RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432208",
            "telephone_number": "931-920-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "ALYSA",
        "middle_name": "MARIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSA",
            "last_name": "MOORE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.