ALISSA NOWACK
NPI 1194334730
Occupational Therapist in Fridley, MN

Active since July 29, 2020
7241 UNIVERSITY EAST SERVICE RD, FRIDLEY, MN 55432(763) 450-9400 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2025, Jul 29, 2020 (2 updates tracked since 2020).

About Alissa Nowack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA NOWACK (NPI 1194334730) is an individual occupational therapist in Fridley, Minnesota and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1194334730
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameALISSA NOWACK
Location Address7241 UNIVERSITY EAST SERVICE RDFridley, MN 55432
Mailing Address7241 University East Service RdFridley, MN 55432 · (763) 450-9400
Sole ProprietorNo
Enumeration DateJuly 29, 2020
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1194334730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
7241 UNIVERSITY EAST SERVICE RD, Fridley, MN 55432

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Nowack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Alissa Nowack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
7241 UNIVERSITY AVE NE
Fridley, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Metro Therapy Special Childrens Clinic
  • 18 clinicians in this Medicare group
Physical Therapist
6490 CENTRAL AVE NE
Fridley, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
  • 75 clinicians in this Medicare group
Pediatrics
2399 ARIEL ST N, SUITE A
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alissa Nowack's NPI number?

The NPI number for Alissa Nowack is 1194334730. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Alissa Nowack located?

Alissa Nowack practices at 7241 University East Service Rd, Fridley, MN 55432. The listed phone number is (763) 450-9400.

What is Alissa Nowack's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Alissa Nowack enrolled in Medicare?

Yes. Alissa Nowack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alissa Nowack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Nowack reassigns Medicare benefits to 3 organizations: Metro Therapy Special Children's Clinic (Fridley, MN), Aegis Group Practice LLC (Fridley, MN) and Children's Theraplay, LLC (Maplewood, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alissa Nowack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alissa Nowack was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.