Individual provider Active NPI

Alecea Marie Towner, OTR/L

  • Occupational Therapist
  • Victor, NY
National Provider Identifier
1659973550
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025179 Issued in NY
Practice address
590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Phone
(585) 924-7207
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 025179 NY Primary

Addresses

Primary practice location

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744

Mailing address

147 Arlidge Dr
Rochester, NY 14616-4407
Phone (585) 802-6391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304002192 NY Practitioner - Occupational Therapist in Private Practice 5395139414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc.Group PAC ID 0840380044, 15 clinicians

Practice addresses (Care Compare)

150 Van Buren St
Newark, NY 14513-1238
Phone (315) 331-7741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025179NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Dec 20, 2021 Accepting new patients
Western New York Speech-Language Pathology, OT, and PT Consultants PastSince Nov 22, 2020 Accepting new patients

Locations

150 Van Buren St
Newark, NY 14513
Phone (315) 331-7741

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": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1659973550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ARLIDGE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164407",
            "telephone_number": "585-802-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FISHERS STATION DR STE 130",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649744",
            "telephone_number": "585-924-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNER",
        "first_name": "ALECEA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.