Individual provider Active NPI

Alexis N Bauer, COTA

  • Occupational Therapy Assistant
  • Eagle River, AK
National Provider Identifier
1003614124
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
12812 Old Glenn Hwy Ste A3
Eagle River, AK 99577-7003
Phone
(907) 317-9349
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Playful Learning Pediatric Therapy, LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

12812 Old Glenn Hwy Ste A3
Eagle River, AK 99577-7003

Mailing address

906 S Williams St
Moberly, MO 65270-1822
Phone (218) 849-8761

Other practice location 1

613 S Knik Goose Bay Rd Ste E
Wasilla, AK 99654-8090
Phone (907) 317-5895

Other practice location 2

1901 N Hemmer Rd Apt 109
Palmer, AK 99645-9673
Phone (907) 795-8115

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2025.

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1003614124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S WILLIAMS ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701822",
            "telephone_number": "218-849-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY STE A3",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777003",
            "telephone_number": "907-317-9349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 S Knik Goose Bay Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548090",
            "country_code": "US",
            "telephone_number": "907-317-5895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N Hemmer Rd Apt 109",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996459673",
            "country_code": "US",
            "telephone_number": "907-795-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ALEXIS",
        "middle_name": "N",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.