Active NPI
Alyssa Krystine Anton, MOT, OTR/L
- Occupational Therapist
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009689
- Practice address
- 1057 E Coldwater Rd
Flint, MI 48505-1501 - Phone
- (810) 496-5172
- NPI assigned
- Mar 12, 2018
- Last updated
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201009689 | MI | Primary |
Addresses
Primary practice location
1057 E Coldwater Rd
Flint, MI 48505-1501
Mailing address
12393 Nichols Rd
Montrose, MI 48457-9763
Phone (810) 280-9712
Other practice location 1
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-6510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1057 E Coldwater Rd
Flint, MI 48505-1501
Phone (810) 257-3746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Health System | Current | Accepting new patients | |
| Genesee Health System | Current | Accepting new patients |
Locations
1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724
1057 E Coldwater Rd
Flint, MI 48505
Phone (810) 257-3740
420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
-
dba Genesee Community Health Center
- Federally Qualified Health Center (FQHC)
- Flint, MI
- NPI 1962140137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1679076111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12393 NICHOLS RD",
"city": "MONTROSE",
"state": "MI",
"postal_code": "484579763",
"telephone_number": "810-280-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 E COLDWATER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485051501",
"telephone_number": "810-496-5172"
}
],
"practiceLocations": [
{
"address_1": "1447 N Harrison St",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486024727",
"country_code": "US",
"telephone_number": "989-583-6510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTON",
"first_name": "ALYSSA",
"middle_name": "KRYSTINE",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.