Active NPI
Alyssa S Moravec, OTR/L
- Occupational Therapist
- Manteno, IL
National Provider Identifier
1457915506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056012982
- Practice address
- 1 Veterans Dr
Manteno, IL 60950-9466 - Phone
- (815) 468-6581
- NPI assigned
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056012982 | IL | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056012982 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1 Veterans Dr
Manteno, IL 60950-9466
Mailing address
16642 Charnswood CT
Tinley Park, IL 60477-6800
Phone (708) 699-5394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2019.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1457915506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16642 CHARNSWOOD CT",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776800",
"telephone_number": "708-699-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"city": "MANTENO",
"state": "IL",
"postal_code": "609509466",
"telephone_number": "815-468-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAVEC",
"first_name": "ALYSSA",
"middle_name": "S",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056012982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteno, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.