Individual provider Active NPI

Alyssa Beverly Korth

  • Occupational Therapist
  • Troy, MI
National Provider Identifier
1477083558
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201011211 Issued in MI
Practice address
1282 Kirts Blvd Ste 102
Troy, MI 48084-4888
Phone
(248) 918-5560
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 5201011211 MI Primary

Addresses

Primary practice location

1282 Kirts Blvd Ste 102
Troy, MI 48084-4888

Mailing address

1282 Kirts Blvd Ste 102
Troy, MI 48084-4888
Phone (248) 918-5560

Other practice location 1

32100 Telegraph Rd Ste 185
Bingham Farms, MI 48025-2453
Phone (248) 712-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210405002414 MI Practitioner - Occupational Therapist in Private Practice 4587071717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Hand and Rehabilitation LLCGroup PAC ID 4183914047, 12 clinicians

Practice addresses (Care Compare)

5798 Highland Rd
Waterford, MI 48327-1826
Phone (248) 724-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201011211MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hand & Rehabilitation, LLC CurrentSince Apr 5, 2021 Accepting new patients
Comprehensive Hand & Rehabilitation, LLC Occupational Therapist CurrentSince Apr 5, 2021 Accepting new patients

Locations

1282 Kirts Blvd
Ste 102
Troy, MI 48084
Phone (248) 918-5560

5798 Highland Rd
Waterford, MI 48327
Phone (248) 724-4400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1477083558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 KIRTS BLVD STE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844888",
            "telephone_number": "248-918-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 KIRTS BLVD STE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844888",
            "telephone_number": "248-918-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32100 Telegraph Rd Ste 185",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480252453",
            "country_code": "US",
            "telephone_number": "248-712-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORTH",
        "first_name": "ALYSSA",
        "middle_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.