ALISSA AUGUST (OT) – Occupational Therapist, NPI 1023884335

ALISSA AUGUST (OT) is a healthcare provider. based in Clarkston, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 5201013508 (MI). The NPI Number for ALISSA AUGUST (OT) is 1023884335

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA AUGUST (OT)
NPI
1023884335
Phone
(248) 620-4260
Address
6167 White Lake Rd Ste 1
Enumeration Date
28 November 2023
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865329602
Graduation Year
2022 (4 years ago)
PAC ID
5799135646
Group Practice PAC ID
9335218619
Professional Enrollment ID
I20231219002080
Address ID
MI483154405SH48875RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for ALISSA AUGUST (OT)

  • 6167 White Lake Rd Ste 1

    Clarkston, MI 483462070

    Phone: (248) 620-4260

    Fax: (248) 620-4239

    Type: Location

  • 1773 STAR BATT DR

    ROCHESTER HILLS, MI 483093708

    Phone: (248) 601-9207

    Type: Mailing

  • 48875 HAYES RD

    SHELBY TWP, MI 483154405

    Phone: (586) 532-9602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231219002080IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48346)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335218619View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the registry number for ALISSA AUGUST (OT)?
The registry entry for ALISSA AUGUST (OT) shows NPI 1023884335.
Quick check: is ALISSA AUGUST (OT) active?
Public NPPES data shows ALISSA AUGUST (OT) with an active NPI status right now.
What does the directory say ALISSA AUGUST (OT) does?
Insurance directories may phrase it differently, but here ALISSA AUGUST (OT) maps to Occupational Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to ALISSA AUGUST (OT)?
The directory associates ALISSA AUGUST (OT) with Clarkston, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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