Active NPI
Alyson Janell Fluchel
- Occupational Therapist
- Elkhorn, NE
National Provider Identifier
1831962679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2023011020
- Practice address
- 18881 W Dodge Rd Ste 300W
Elkhorn, NE 68022-4648 - Phone
- (877) 230-3885
- NPI assigned
- Nov 2, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 24896 | CA | |
| Occupational Therapist | 225X00000X | OTP-OT-LIC-10479 | MT | |
| Occupational Therapist | 225X00000X | 2023011020 | MO | Primary |
Addresses
Primary practice location
18881 W Dodge Rd Ste 300W
Elkhorn, NE 68022-4648
Mailing address
189 Lake Cedar Rd
Burfordville, MO 63739-8909
Phone (573) 238-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Festus, MO 63028
Phone (610) 925-1176
12399 Gravois Rd
Saint Louis, MO 63127-1736
Phone (337) 310-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24896 | CA | MD | Occupational Therapist |
| OTP-OT-LIC-10479 | MT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
Locations
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 3
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.
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1831962679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 LAKE CEDAR RD",
"city": "BURFORDVILLE",
"state": "MO",
"postal_code": "637398909",
"telephone_number": "573-238-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18881 W DODGE RD STE 300W",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224648",
"telephone_number": "877-230-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLUCHEL",
"first_name": "ALYSON",
"middle_name": "JANELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24896",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "OTP-OT-LIC-10479",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2023011020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.