Individual provider Active NPI

Alyssa A Scordo, OTR/L

  • Occupational Therapist
  • Somers Point, NJ
National Provider Identifier
1699872317
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00331200 Issued in NJ
Practice address
67 Higbee Ave
Somers Point, NJ 08244-2323
Phone
(609) 204-4849
Fax
(609) 653-1258
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 46TR00331200 NJ Primary

Addresses

Primary practice location

67 Higbee Ave
Somers Point, NJ 08244-2323

Mailing address

67 Higbee Ave
Somers Point, NJ 08244-2323
Phone (609) 204-4849

Other identifiers 1

IdentifierTypeStateIssuer
110720RE7OtherNJMEDICARE BILLING PROVIDER #

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

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1699872317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 HIGBEE AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442323",
            "telephone_number": "609-204-4849",
            "fax_number": "609-653-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HIGBEE AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442323",
            "telephone_number": "609-204-4849",
            "fax_number": "609-653-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORDO",
        "first_name": "ALYSSA",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00331200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING PROVIDER #",
            "identifier": "110720RE7",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.