MEDICARE: ALYSSA WATERS OTD, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT009207	GA

General Provider Information

NPI Number	:	1730925223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA WATERS OTD, OTR/L

Provider Business Mailing Address
First Line	:	1082 PARK ROW NORTH SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-3884
Country	:	US
Telephone Number	:	478-244-4237
Fax Number	:

Provider Business Practice Location Address
First Line	:	1082 PARK ROW NORTH SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-3884
Country	:	US
Telephone Number	:	478-244-4237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	02/23/2026

Similar Medicare Providers

1972319051 — HANNAH CLARK, LLC
Practice Location Address:

4591 RIVER PKWY APT K
ATLANTA, GA
30339-3884

Practice Phone: 423-723-9800
Practice Fax:

1821627001 — STEPHANIE ZHENG
Practice Location Address:

430 PRYOR ST SW
ATLANTA, GA
30312-2716

Practice Phone: 404-613-4400
Practice Fax:

1831695329 — HASAN FARAJ DAWOOD MD
Practice Location Address:

285 BOULEVARD NE STE 610
ATLANTA, GA
30312-4212

Practice Phone: 404-653-0039
Practice Fax: 404-653-0159

1164606018 — JULIAN ALEXANDER BRAGG MD, PHD.
Practice Location Address:

285 BOULEVARD NE STE 610
ATLANTA, GA
30312-4212

Practice Phone: 404-653-0039
Practice Fax: 404-653-0159

1326022583 — HUSHAM P MISHU MD
Practice Location Address:

285 BOULEVARD NE STE 610
ATLANTA, GA
30312-4212

Practice Phone: 404-653-0039
Practice Fax: 404-653-0159

1780441253 — MIRALI NARESHKUMAR PATEL AGNP-C
Practice Location Address:

285 BOULEVARD NE STE 610
ATLANTA, GA
30312-4212

Practice Phone: 404-653-0039
Practice Fax:

Directions to “ ALYSSA WATERS OTD, OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.