Alexis Lacaille Lorick, OT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002400 Issued in VA

Practice address

13590 Jefferson Davis Hwy
Woodbridge, VA 22191-1218

Phone

(703) 492-5050

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Alliance Rehabilitation, LLC

  dba Alliance Physical Therapy

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1578188876
  NPD
• Alliance Rehabilitation, LLC

  dba Alliance Physical Therapy

  • Physical Therapist
  • Herndon, VA
  • NPI 1770799041

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1093316291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 TOLLIVER ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911218",
            "telephone_number": "703-492-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORICK",
        "first_name": "ALEXIS",
        "middle_name": "LACAILLE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0131002400",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flor I Lopez, FNP
• Christina Joy Loran, BCBA
• Travis A Lore, PT
• Candice Loredo
• Richard Lawrence Lorenz, MD
• Paymaun M Lotfi, MD
• Ek Seng Lou, MD
• Loudoun Medical Group, PC (Comprehensive Sleep Care Center)
• Maher Loutfi, M.D
• Kadara Love

• Occupational Therapy Assistant in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.