Active NPI
Alyssa Christiana Baxter, OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1609537802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT23044
- Practice address
- 1034 W 34TH Street Suite 452
Los Angeles, CA 90089-0001 - Phone
- (310) 872-0710
- NPI assigned
- Jan 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT23044 | CA | Primary |
Addresses
Primary practice location
1034 W 34TH Street Suite 452
Los Angeles, CA 90089-0001
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-3340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT23044 | Other | CA | CBOT |
| 462701 | Other | NBCOT |
Other names 1
- Alyssa Capellino
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alyssa.capellino@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
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 |
|---|---|---|---|
| 23044 | CA | MD | Dentist |
| OT23044 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1609537802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 W 34TH STREET SUITE 452",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890001",
"telephone_number": "310-872-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "ALYSSA",
"middle_name": "CHRISTIANA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT23044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBOT",
"identifier": "OT23044",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "462701",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alyssa.capellino@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1034 W 34th Street Suite 452",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900890001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "CAPELLINO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.