MEDICARE: ALYSSA JASMINE OTT MT-BC

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	225A00000X	Music Therapist	13136

General Provider Information

NPI Number	:	1962971895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA JASMINE OTT MT-BC

Provider Business Mailing Address
First Line	:	4524 N WOLCOTT AVE APT 1A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5240
Country	:	US
Telephone Number	:	972-965-4366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 E TOUHY AVE # 130
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-3303
Country	:	US
Telephone Number	:	815-812-2355
Fax Number	:

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

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	11/20/2018

Similar Medicare Providers

1366381865 — KELVIN CHIAGOZIE OBODOAKU
Practice Location Address:

1350 E TOUHY AVE
DES PLAINES, IL
60018-3303

Practice Phone: 630-590-5571
Practice Fax:

1447199948 — STEPHANIE CARLILE KAUFMAN
Practice Location Address:

1350 E TOUHY AVE STE 145W
DES PLAINES, IL
60018-3303

Practice Phone: 224-470-1111
Practice Fax:

1790442747 — ARJUN POUDEL
Practice Location Address:

1350 E TOUHY AVE
DES PLAINES, IL
60018-3303

Practice Phone: 475-209-1700
Practice Fax:

1154344471 — IOWA CVS PHARMACY LLC
Practice Location Address:

5901 DOUGLAS AVE
DES MOINES, IA
50322-3303

Practice Phone: 515-331-0599
Practice Fax: 515-331-0599

1750479879 — MARION JANE BLOUNT DDS
Practice Location Address:

4803 UNIVERSITY AVE
DES MOINES, IA
50311-3303

Practice Phone: 515-279-3685
Practice Fax:

1740482017 — EDWARD CHARLES SMITH RDCS
Practice Location Address:

3303 6TH AVE
DES MOINES, IA
50313-4136

Practice Phone: 515-865-4023
Practice Fax:

Directions to “ ALYSSA JASMINE OTT MT-BC” 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.