Active NPI
Alton Jolyon Brisport
- Hand Occupational Therapist
- Albany, NY
National Provider Identifier
1790794733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 004751-1/1021100057
- Practice address
- 113 Holland Ave
Albany, NY 12208-3410 - Phone
- (518) 626-5803
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 004751-1/1021100057 | NY | Primary |
Addresses
Primary practice location
113 Holland Ave
Albany, NY 12208-3410
Mailing address
150 Manchester Rd
Schenectady, NY 12304-3903
Phone (518) 372-4903
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stratton V.a. Medical Center | Hand | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hand Occupational Therapist
- Albany, NY
- NPI 1285684027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790794733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MANCHESTER RD",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123043903",
"telephone_number": "518-372-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HOLLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083410",
"telephone_number": "518-626-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISPORT",
"first_name": "ALTON",
"middle_name": "JOLYON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "004751-1/1021100057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.