Individual provider Active NPI

Alyssa Sy, MT-BC

  • Music Therapist
  • Potomac, MD
National Provider Identifier
1689471401
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
00189 Issued in MD
Practice address
12921 River Rd
Potomac, MD 20854-1141
Phone
(336) 404-1703
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 00189 MD Primary

Addresses

Primary practice location

12921 River Rd
Potomac, MD 20854-1141

Mailing address

12921 River Rd
Potomac, MD 20854-1141
Phone (336) 404-1703

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
00189MDMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1689471401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 RIVER RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541141",
            "telephone_number": "336-404-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 RIVER RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541141",
            "telephone_number": "336-404-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "ALYSSA",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "MD",
            "license": "00189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.