Active NPI
Alyssa Rose Bauman, MS, OTR/L
- Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1699329326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717 - Phone
- (248) 894-7815
- NPI assigned
- Jul 31, 2019
- 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 | Primary |
Addresses
Primary practice location
21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717
Mailing address
392 W Carob Dr
Chandler, AZ 85248-4518
Phone (248) 894-7815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTH-007713 | Other | BOARD OF OCCUPATIONAL THERAPY EXAMINERS |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achievement Therapy Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1265499701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1699329326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 W CAROB DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484518",
"telephone_number": "248-894-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21630 N 19TH AVE STE B3",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272717",
"telephone_number": "248-894-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "ALYSSA",
"middle_name": "ROSE",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
"identifier": "OTH-007713",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.