ALYSSA MORGAN ZELENKA (NPI# 1669006102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669006102 |
| Entity Type | Individual |
| Full Name | ALYSSA MORGAN ZELENKA |
| Practice Address |
15476 Dedeaux Rd Gulfport MS 39503-2637 |
| Mailing Address |
6300 E Lake Blvd Ste 301 Vancleave MS 39565-6771 |
| Practice Telephone | 2282302663 |
| Practice Fax Number | 2285463257 |
| Mailing Telephone | 2282302663 |
| Mailing Fax Number | 2285463257 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT-3770 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15476 DEDEAUX RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558462218 | Eric J Graham | Specialist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2006-09-26 |
| 1427507037 | Ophelia Abrahams | Occupational Therapist | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2016-09-23 |
| 1417340514 | Denese H Dapito | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-03-12 |
| 1578951240 | Nicole Lynn Johnson | Registered Nurse | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-01-05 |
| 1932522281 | Jason W Caswell | Physician Assistant | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2014-01-22 |
| 1609163682 | Joseph Tyler Cox | Orthopaedic Surgery | 15476 Dedeaux Rd, Gulfport, MS 39503 | 2011-06-29 |
| 1689804668 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023055415 | Coast Hand Therapy, Inc. | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-02 |
| 1427507037 | Ophelia Abrahams | Occupational Therapist | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2016-09-23 |
| 1265470744 | Joseph Albert Church IIi | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427238195 | Memphis Hand Center | Occupational Therapist | 5699 Getwell Rd, Bldg E, Sutie 4, Southaven, MS 38672-7312 | 2007-11-09 |
| 1144400813 | Memphis Hand Center, Inc | Occupational Therapist | 156 Highway 51 S, Batesville, MS 38606-2552 | 2007-11-09 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1972561470 | Kaye B Cannon | Occupational Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-05-03 |
| 1588139521 | Carolyn Lawson | Occupational Therapist | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2018-10-05 |
| 1881076362 | Cody L Pounders | Occupational Therapist | 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 | 2015-06-22 |
| 1457476467 | Chanelle Alis Cooley | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-20 |
Please comment or provide details below to improve the information on ALYSSA MORGAN ZELENKA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.