Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alisa Dominique Fosmire, OTR/L

Individual provider Occupational Therapist · NPI 1861035321

Mrs. Alisa Dominique Fosmire, OTR/L is an Occupational Therapist in Syracuse, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-2302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 492-5011

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 024168 (NY)

Record details

NPI number1861035321
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 28, 2019
Last updated in NPPESOctober 28, 2019

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