Alyssa M Fagan, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

010111-1 Issued in NY

Practice address

20 Bergen St
Brooklyn, NY 11201-6302

Phone

(718) 501-7607

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1588806525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 19TH ST",
            "address_2": "APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181044",
            "telephone_number": "718-501-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016302",
            "telephone_number": "718-501-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "010111-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal Fadlalla
• Miriam Faena
• Paul Joseph Faerstein, PHARMD
• Lauren Fafalak, DMD
• Katherine Ann Fafian, OTR
• Carol Fagan
• Kelly Fagan, PA
• Michael Brian Fagan, LCSW
• Mitchell Ernest Fagan, M.A. SLP-CCC
• Nicola Fagan

• Pediatric Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.