Individual provider Active NPI

Alyssa Gold, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1679920557
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020143 Issued in NY
Practice address
15 Charles St Apt 2H
New York, NY 10014-3013
Phone
(914) 772-6982
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 020143 NY Primary

Addresses

Primary practice location

15 Charles St Apt 2H
New York, NY 10014-3013

Mailing address

15 Charles St Apt 2H
New York, NY 10014-3013
Phone (914) 772-6982

Other practice location 1

175 W 13th St Apt 16C
New York, NY 10011-7827
Phone (914) 772-6982

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alyssagold.ot@gmail.com

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

LicenseStateTypeSpecialty
020143NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1679920557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHARLES ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143013",
            "telephone_number": "914-772-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHARLES ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143013",
            "telephone_number": "914-772-6982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 W 13th St Apt 16C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117827",
            "country_code": "US",
            "telephone_number": "914-772-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alyssagold.ot@gmail.com",
            "affiliation": "N",
            "address_1": "15 Charles St Apt 2H",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100143013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.