Individual provider Active NPI

Alyse Biscan

  • Occupational Therapist
  • Grain Valley, MO
National Provider Identifier
1578081675
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2022030209 Issued in MO
Practice address
105 SW Eagles Pkwy
Grain Valley, MO 64029-8512
Phone
(816) 265-1170
NPI assigned
Sep 8, 2017
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2022030209 MO
Behavior Technician 106S00000X
Occupational Therapist 225X00000X 2022030209 MO Primary

Addresses

Primary practice location

105 SW Eagles Pkwy
Grain Valley, MO 64029-8512

Mailing address

1490 Coventry Dr
Hatfield, PA 19440-3677

Other practice location 1

7175 Columbia Gateway Dr
Columbia, MD 21046-2534
Phone (888) 344-5977

Other names 1

  • Alyse Thamm Former name

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
2022030209MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Cwo Enterprises CurrentSince Feb 12, 2023 Accepting new patients

Locations

105 SW Eagles Pkwy
Grain Valley, MO 64029
Phone (816) 265-1170

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1578081675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 COVENTRY DR",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194403677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SW EAGLES PKWY",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298512",
            "telephone_number": "816-265-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 Columbia Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210462534",
            "country_code": "US",
            "telephone_number": "888-344-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISCAN",
        "first_name": "ALYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2022030209",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2022030209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "THAMM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grain Valley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.