Individual provider Active NPI

Alyssa Wegelin, MT-BC, OTR/L

  • Occupational Therapist
  • Clermont, FL
National Provider Identifier
1538601612
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18070 Issued in FL
Practice address
1804 Oakley Seaver Dr
Ste E
Clermont, FL 34711-1925
Phone
(352) 989-5838
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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 18070 FL Primary

Addresses

Primary practice location

1804 Oakley Seaver Dr
Ste E
Clermont, FL 34711-1925

Mailing address

1200 Lexington Green LN
Sanford, FL 32771-1013
Phone (407) 688-0070

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18070FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1538601612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LEXINGTON GREEN LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711013",
            "telephone_number": "407-688-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR",
            "address_2": "STE E",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "352-989-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGELIN",
        "first_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "MT-BC, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "18070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.