Alyssa Stacey Kallenos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014446-1 Issued in NY

Practice address

1336 50TH St
Brooklyn, NY 11219-3501

Phone

(718) 435-6906

Fax

(718) 435-6908

NPI assigned

Sep 8, 2007

Last updated

Sep 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Stacey Okin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• OT Dynamics Services LLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1346906336
  NPD

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189209600000",
    "number": "1831384320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193501",
            "telephone_number": "718-435-6906",
            "fax_number": "718-435-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193501",
            "telephone_number": "718-435-6906",
            "fax_number": "718-435-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLENOS",
        "first_name": "ALYSSA",
        "middle_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2007-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014446-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "OKIN",
            "middle_name": "STACEY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaymaa Kalkan
• Richard Kalker, PHYSICIAN ASSISTANT
• Ashwani Kalla, P.T.
• Anusha Kallakuri, MD
• Sreedhar Kallakuri
• Andreas Kallenos, MS, PT
• Morgan Blake Kallenos
• Jisha Kallikkadan, MD
• Konstantinos Gus Kallinikos, DPM
• Bracha Miriam Kallus, M.S.

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

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

Verify at the official NPI Registry.