Alyssa Shirley, OTR/L is a medicare enrolled "Occupational Therapist" provider in Star, Idaho. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is
12222 W Bridger Bay Dr, Star, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 391-2773.
Alyssa Shirley is licensed to practice in Idaho (license number 6471866) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285520536.
Healthcare Provider's Profile
| Full Name | Alyssa Shirley |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 12222 W Bridger Bay Dr, Star, Idaho |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alyssa Shirley graduated from medical school in 2025
NPI Data:
- NPI Number: 1285520536
- Provider Enumeration Date: 06/14/2025
- Last Update Date: 06/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214440635
- Enrollment ID: I20250630002033
Medical Identifiers
Medical identifiers for Alyssa Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285520536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 6471866 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Shirley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alyssa Shirley, OTR/L
12222 W Bridger Bay Dr,
Star, ID 83669-5081
Ph: (208) 473-1098 | Alyssa Shirley, OTR/L
12222 W Bridger Bay Dr,
Star, ID 83669-5081
Ph: (208) 391-2773 |
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