Alyssa Porter

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA008478 Issued in OH

Practice address

522 Glenwood Ave
New Boston, OH 45662-5505

Phone

(740) 354-7761

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1669256632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CYNTHIA ANN DR",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GLENWOOD AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625505",
            "telephone_number": "740-354-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA008478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohio CVS Stores LLC (CVS Pharmacy 03498)
• Patricia Osborne
• Brooke Lynne Pauley Conley, D.C.
• Leonard Perkins, RPH
• Brooklyn Peterson, COTA/L
• Premise Health of Ohio Medical PA (Astemo)
• Premise Health of Ohio Medical, P.a (Scioto Advantage Health & Wellness Center)
• Amy C Rase, RPH
• Christa Ratliff
• Andrea Renee Reed, LISW-S

• Occupational Therapy Assistant in New Boston, OH
• Providers in New Boston, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.