Provider Demographics
NPI:1750272654
Name:LEVINSON, ALYSSA HAMMON (OTD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:HAMMON
Last Name:LEVINSON
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:ANN
Other - Last Name:HAMMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3415 MONARCH CT
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-4821
Mailing Address - Country:US
Mailing Address - Phone:605-389-0398
Mailing Address - Fax:
Practice Address - Street 1:528 KANSAS CITY ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5036
Practice Address - Country:US
Practice Address - Phone:605-389-0398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist