Individual provider Active NPI

Alexus Loper, MS

  • Occupational Therapist
  • Savannah, GA
National Provider Identifier
1053882555
Registry record updated Dec 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007071 Issued in GA
Practice address
95 Skidaway Island Park Rd
Savannah, GA 31411-1104
Phone
(800) 889-6238
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2018

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 007071 GA Primary

Addresses

Primary practice location

95 Skidaway Island Park Rd
Savannah, GA 31411-1104

Mailing address

100 Shellbark Way Apt 22207
Savannah, GA 31407-3705
Phone (323) 767-3072

Other identifiers 1

IdentifierTypeStateIssuer
225X00000XMedicaidGA

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospera Rehabilitation LLCGroup PAC ID 2860839099, 7 clinicians

Practice addresses (Care Compare)

16700 Ella Blvd
Houston, TX 77090-4214
Phone (832) 920-2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Pro Rehab LLC Occupational Therapist PastSince Apr 24, 2022 Accepting new patients

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": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1053882555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHELLBARK WAY APT 22207",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314073705",
            "telephone_number": "323-767-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SKIDAWAY ISLAND PARK RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111104",
            "telephone_number": "800-889-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPER",
        "first_name": "ALEXUS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "007071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225X00000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.