Active NPI
Alyssa Johnson, OT
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1588375398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20200
- Practice address
- 5208 Ridge Rd Unit E1-4
Charlotte, NC 28269-3439 - Phone
- (561) 560-7377
- NPI assigned
- Dec 13, 2022
- Last updated
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20200 | FL | Primary |
Addresses
Primary practice location
5208 Ridge Rd Unit E1-4
Charlotte, NC 28269-3439
Mailing address
2801 NE 183Rd St Apt 508
Aventura, FL 33160-2128
Phone (860) 841-3350
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20200 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1588375398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 NE 183RD ST APT 508",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331602128",
"telephone_number": "860-841-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5208 RIDGE RD UNIT E1-4",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693439",
"telephone_number": "561-560-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALYSSA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "20200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.