Active NPI
Alyssa Decosta, COTA/L
- Occupational Therapy Assistant
- Somerset, MA
National Provider Identifier
1699226852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4039
- Practice address
- 977 Lees River Ave Apt 1
Somerset, MA 02726-1340 - Phone
- (508) 558-2975
- NPI assigned
- Oct 21, 2016
- Last updated
- Oct 28, 2020
- 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 Therapy Assistant | 224Z00000X | 4039 | MA | Primary |
Addresses
Primary practice location
977 Lees River Ave Apt 1
Somerset, MA 02726-1340
Mailing address
120 Russells Mills Rd
Dartmouth, MA 02748-1742
Phone (508) 264-4456
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4039 | MA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1699226852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 RUSSELLS MILLS RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027481742",
"telephone_number": "508-264-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 LEES RIVER AVE APT 1",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027261340",
"telephone_number": "508-558-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOSTA",
"first_name": "ALYSSA",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "4039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.