Healthcare Provider Details

I. General information

NPI: 1881260024
Provider Name (Legal Business Name): ALISON M LANDRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON MURPHY

II. Dates (important events)

Enumeration Date: 05/28/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 RESERVOIR AVE
CRANSTON RI
02910-5121
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 401-785-3334
  • Fax: 401-785-3336
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTL36635
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT02451
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5646
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number025620
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: