Alexandra Gardiner, MS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3989 Issued in ME

Practice address

28 Gilman PLZ
Bangor, ME 04401-3561

Phone

(207) 990-0162

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Watch Me Shine, Inc.

  • Early Intervention Provider Agency
  • Bangor, ME
  • NPI 1811124662
  NPD

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1033703483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 OHIO ST APT B",
            "city": "GLENBURN",
            "state": "ME",
            "postal_code": "044017115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GILMAN PLZ",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013561",
            "telephone_number": "207-990-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "ALEXANDRA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Gamble, O.D.
• Jesus M Gandarillas, PAC
• Sadvi Ganesh, MD
• Mohamedazhar Gangat, M.D.
• Imi Ganz, PHD
• Charles H Gardner Jr., LADC
• Jill B Gardner, LCSW
• Karen L Gardner, LCSW
• Michelle A Gardner, FNP-BC
• Michelle W Gardner, M.D.

• Occupational Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.