Individual provider Active NPI

Alyssa Bark, OTR/L

  • Occupational Therapist
  • Matawan, NJ
National Provider Identifier
1689275240
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00856700 Issued in NJ
Practice address
144 NJ-34
Matawan, NJ 07747
Phone
(732) 316-5895
NPI assigned
Nov 2, 2020
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 46TR00856700 NJ Primary

Addresses

Primary practice location

144 NJ-34
Matawan, NJ 07747

Mailing address

20 W Parsonage Way
Manalapan, NJ 07726-7903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816000027 NJ Practitioner - Occupational Therapist in Private Practice 8224411863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Bridge Spine and Wellness Center,PAGroup PAC ID 7416137492, 23 clinicians
Freehold Health and Wellness LLCGroup PAC ID 1951766997, 4 clinicians

Practice addresses (Care Compare)

144 Hwy 34
Matawan, NJ 07747-2132
Phone (732) 320-6285

144 TR
Suite 344
Matawan, NJ 07747-2132

222 S St
Freehold, NJ 07728-2619
Phone (732) 409-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Occupational Therapist CurrentSince Jul 3, 2022 Accepting new patients
Old Bridge Spine & Wellness Center,PA CurrentSince Aug 12, 2024 Accepting new patients
Freehold Health and Wellness LLC Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients
Robert Wood Johnson University Hospital Inc PastSince Nov 1, 2020 Accepting new patients

Locations

222 South St
Freehold, NJ 07728
Phone (732) 387-7795

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (440) 263-9228

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1689275240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W PARSONAGE WAY",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NJ-34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "732-316-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARK",
        "first_name": "ALYSSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00856700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.