Alyssa Thanadabouth, M.S. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13731 Issued in CA

Practice address

2115 J St
Ste 210
Sacramento, CA 95816-4738

Phone

(916) 444-0033

NPI assigned

Oct 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Alyssa Pardini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801223664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CAFARO CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341038",
            "telephone_number": "209-607-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 J ST",
            "address_2": "STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164738",
            "telephone_number": "916-444-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANADABOUTH",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "PARDINI",
            "prefix": "MISS",
            "credential": "M.S. OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicklesh Thakur, D.O.
• Amanda Kim Tham
• Carmen Tham, BA
• Yieng M. Tham
• Swetha Thammana
• Gurleen Kaur Thandi
• Jasmin Thandi
• Thanh Le Tran OD Inc.
• Susan N Thanpeng
• Emily Thao Singh

• Occupational Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.