Individual provider Active NPI

Alyssa Kihara, OTD, OTR/L

  • Occupational Therapist
  • Clarksville, TN
National Provider Identifier
1588435523
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5457 Issued in TN
Practice address
207 Uffelman Dr
Clarksville, TN 37043-2909
Phone
(931) 413-1428
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 5457 TN Primary

Addresses

Primary practice location

207 Uffelman Dr
Clarksville, TN 37043-2909

Mailing address

87 Gallant CT
Clarksville, TN 37043-9300

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
5457TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

207 Uffelman Dr
Clarksville, TN 37043
Phone (931) 444-1980

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1588435523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GALLANT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370439300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 UFFELMAN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432909",
            "telephone_number": "931-413-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIHARA",
        "first_name": "ALYSSA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.