Active NPI
Alyssa Marie Janitscheck, OTD, OTR/L
- Occupational Therapist
- Norfolk, NE
National Provider Identifier
1639831506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2353
- Practice address
- 1500 Koenigstein Ave
Norfolk, NE 68701-3664 - Phone
- (402) 644-7396
- NPI assigned
- Oct 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2353 | NE | Primary |
Addresses
Primary practice location
1500 Koenigstein Ave
Norfolk, NE 68701-3664
Mailing address
304 S Chestnut St
Norfolk, NE 68701-5533
Phone (402) 649-4675
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2353 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1639831506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S CHESTNUT ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687015533",
"telephone_number": "402-649-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 KOENIGSTEIN AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013664",
"telephone_number": "402-644-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANITSCHECK",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.