Individual provider Active NPI

Alyssa Maas, COTA/L

  • Occupational Therapy Assistant
  • Cheektowaga, NY
National Provider Identifier
1548997570
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
011032 Issued in NY
Practice address
1050 Maryvale Dr
Cheektowaga, NY 14225-2324
Phone
(716) 631-0300
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 011032 NY Primary

Addresses

Primary practice location

1050 Maryvale Dr
Cheektowaga, NY 14225-2324

Mailing address

350 Central Ave Apt C1
Fredonia, NY 14063-1144
Phone (716) 640-5000

Other practice location 1

1801 Grand Island Blvd
Grand Island, NY 14072-2249
Phone (716) 773-4323

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://

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
011032NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1548997570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CENTRAL AVE APT C1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631144",
            "telephone_number": "716-640-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARYVALE DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252324",
            "telephone_number": "716-631-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Grand Island Blvd",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NY",
            "postal_code": "140722249",
            "country_code": "US",
            "telephone_number": "716-773-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAAS",
        "first_name": "ALYSSA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://",
            "affiliation": "N",
            "address_1": "1050 Maryvale Dr",
            "city": "Cheektowaga",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142252324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.