ALISSA DEARDORFF OTR/L
NPI 1528693785
Occupational Therapist - Pediatrics in Maple Grove, MN
About Alissa Deardorff Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISSA DEARDORFF OTR/L (NPI 1528693785) is an individual pediatrics provider in Maple Grove, Minnesota and active in the NPI registry since March 2020. She maintains a secondary practice location in Andover.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alissa Deardorff Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alissa Deardorff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Andover, MN 55304
- Reassigned Medicare billing, Minnesota enrollment
- 112 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Deardorff's NPI number?
The NPI number for Alissa Deardorff is 1528693785. It was assigned to this individual provider in the NPPES registry on March 9, 2020. The provider is also known as Alissa Bartholomew.
Where is Alissa Deardorff located?
Alissa Deardorff practices at 15301 Grove Cir N, Maple Grove, MN 55369. The listed phone number is (952) 993-5900.
What is Alissa Deardorff's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Alissa Deardorff enrolled in Medicare?
Yes. Alissa Deardorff is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alissa Deardorff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Deardorff reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (Brooklyn Park, MN) and Family Speech & Therapy Services, LLC (Andover, 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 Deardorff'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 Deardorff was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.