Individual provider Active NPI

Alyssa Joy Cichon, OTD

  • Pediatric Occupational Therapist
  • Rockville, MD
National Provider Identifier
1841060761
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
10136 Issued in MD
Practice address
15850 Crabbs Branch Way Ste 150
Rockville, MD 20855-2622
Phone
(301) 869-7505
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 10136 MD Primary

Addresses

Primary practice location

15850 Crabbs Branch Way Ste 150
Rockville, MD 20855-2622

Mailing address

625 E Monroe Ave Apt 206
Alexandria, VA 22301-3023
Phone (616) 822-8804

Other names 1

  • Alyssa Joy Schwartz Former name

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

State licenses

LicenseStateTypeSpecialty
10136MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Development Center, LLC Pediatrics CurrentSince Sep 29, 2024 Accepting new patients

Locations

15850 Crabbs Branch Way
Ste 150
Rockville, MD 20855
Phone (301) 869-7505

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1841060761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E MONROE AVE APT 206",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223013023",
            "telephone_number": "616-822-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 CRABBS BRANCH WAY STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552622",
            "telephone_number": "301-869-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHON",
        "first_name": "ALYSSA",
        "middle_name": "JOY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "10136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "SCHWARTZ",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.