Alyssa Flasrud, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4576-027 Issued in WI

Practice address

960 S Rapids Rd
Manitowoc, WI 54220-4146

Phone

(920) 684-1144

Fax

(920) 482-0651

NPI assigned

Nov 4, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1871746891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S RAPIDS RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204146",
            "telephone_number": "920-684-1144",
            "fax_number": "920-482-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S RAPIDS RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204146",
            "telephone_number": "920-684-1144",
            "fax_number": "920-482-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLASRUD",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4576-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Kiilani Fernandez, RN
• Katherine Figurin, CCC
• Brooke Fischer
• Bryce Fischer, DC
• Amanda Fisher, HIS
• Ellen Floate, SAC-IT
• FMG South Rapids Road Wisconsin LLC
• Catherine R Forbes, SAC
• Ashley T Ford, PA-C
• Forefront Dermatology, S.C.

• Occupational Therapy Assistant in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.