Active NPI
Alesia G Disano, OTR/L
- Occupational Therapist
- Mooresville, NC
National Provider Identifier
1457443780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6133
- Practice address
- 137 Overhill Dr
Suite 101
Mooresville, NC 28117-8006 - Phone
- (704) 799-6824
- Fax
- (704) 799-6825
- NPI assigned
- Sep 28, 2006
- Last updated
- Nov 19, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT01014 | RI | |
| Occupational Therapist | 225X00000X | 6133 | NC | Primary |
Addresses
Primary practice location
137 Overhill Dr
Suite 101
Mooresville, NC 28117-8006
Mailing address
7727 Sedgebrook Dr E
Stanley, NC 28164-9744
Phone (701) 799-6824
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 |
|---|---|---|---|
| 6133 | NC | MD | General Practice Dentistry |
| OT01014 | RI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1457443780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7727 SEDGEBROOK DR E",
"city": "STANLEY",
"state": "NC",
"postal_code": "281649744",
"telephone_number": "701-799-6824",
"fax_number": "701-799-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 OVERHILL DR",
"address_2": "SUITE 101",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178006",
"telephone_number": "704-799-6824",
"fax_number": "704-799-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISANO",
"first_name": "ALESIA",
"middle_name": "G",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01014",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.