Individual provider Active NPI

Alexandra Makae Levorsen

  • Occupational Therapist
  • Mandan, ND
National Provider Identifier
1003314261
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1606 Issued in ND
Practice address
1702 E Main St Ste 103
Mandan, ND 58554-3818
Phone
(701) 415-0000
Fax
(833) 969-0195
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1606 ND Primary

Addresses

Primary practice location

1702 E Main St Ste 103
Mandan, ND 58554-3818

Mailing address

4501 Coleman St Ste 103
Bismarck, ND 58503-0996
Phone (701) 751-6336

Other identifiers 1

IdentifierTypeStateIssuer
0000OtherNDOT

Other names 1

  • Alexandra Makae Winters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326002242 ND Practitioner - Occupational Therapist in Private Practice 2466714738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1606NDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Partners, Inc. Occupational Therapist CurrentSince Feb 16, 2018 Accepting new patients
Kids in Motion Inc CurrentSince Feb 16, 2019 Accepting new patients

Locations

4501 Coleman St
Ste 103
Bismarck, ND 58503
Phone (701) 751-6336

3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384

1702 E Main St
Ste 103
Mandan, ND 58554
Phone (701) 415-0000

1810 E Main St
Mandan, ND 58554
Phone (701) 415-0000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1003314261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 COLEMAN ST STE 103",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030996",
            "telephone_number": "701-751-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E MAIN ST STE 103",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543818",
            "telephone_number": "701-415-0000",
            "fax_number": "833-969-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVORSEN",
        "first_name": "ALEXANDRA",
        "middle_name": "MAKAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT",
            "identifier": "0000",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "WINTERS",
            "middle_name": "MAKAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.