Active NPI
Alyssa Oldani, OTR/L
- Occupational Therapist
- Bartlett, TN
National Provider Identifier
1609444546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6874
- Practice address
- 3045 Kate Bond Rd
Bartlett, TN 38133-4004 - Phone
- (901) 937-3200
- Fax
- (901) 383-1738
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6874 | TN | Primary |
| Occupational Therapist | 225X00000X | OT-3869 | MS |
Addresses
Primary practice location
3045 Kate Bond Rd
Bartlett, TN 38133-4004
Mailing address
3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone (901) 937-3200
Other practice location 1
5699 Getwell Rd Bldg E4
Southaven, MS 38672-7311
Phone (662) 536-4695
Other names 1
- Alyssa Blumenberg
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Webpt | Health Information Exchange (HIE) | Memphis Hand Center, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-3869 | MS | MD | Occupational Therapist |
| 6874 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Therapy Center, LLC | Occupational Therapist | Current | Accepting new patients |
| Memphis Hand Center, Inc | Past | Accepting new patients | |
| MSK Group PC | Past | Accepting new patients | |
| Memphis Hand Center | Past | Accepting new patients |
Locations
3108 SW Regency Pkwy
Ste 5
Bentonville, AR 72712
Phone (479) 252-3321
3201 SW Regency Pkwy
Ste 5
Bentonville, AR 72712
Phone (479) 252-3321
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Bentonville, AR
- NPI 1801552435
Occupational Therapist
-
- Hand Occupational Therapist
- Jackson, TN
- NPI 1417006404
-
- Hand Occupational Therapist
- Southaven, MS
- NPI 1427238195
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1609444546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 KATE BOND RD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334004",
"telephone_number": "901-937-3200",
"fax_number": "901-383-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 KATE BOND RD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334004",
"telephone_number": "901-937-3200",
"fax_number": "901-383-1738"
}
],
"practiceLocations": [
{
"address_1": "5699 Getwell Rd Bldg E4",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386727311",
"country_code": "US",
"telephone_number": "662-536-4695",
"fax_number": "662-536-4696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLDANI",
"first_name": "ALYSSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6874",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT-3869",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Webpt",
"affiliation": "Y",
"endpointDescription": "electronic medical record system",
"affiliationName": "Memphis Hand Center, Inc",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5699 Getwell Rd Bldg E4",
"city": "Southaven",
"state": "MS",
"country_code": "US",
"postal_code": "386727311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "BLUMENBERG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.