Alejandro Rey Acevedo Ali, OTR
Individual provider Active NPI Occupational Therapist · Philadelphia, PA
NPI 1104347293 · NPPES record last updated Jun 29, 2017
Key facts
- NPI
- 1104347293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 1127 S 46TH St
Philadelphia, PA 19143-3734 - Phone
- (717) 682-5617
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Inc
Practice addresses (Care Compare)
10475 Perry Hwy
Suite 106G
Wexford, PA 15090-9213
Phone (877) 407-4322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171009002358 | PA | Practitioner - Occupational Therapist in Private Practice | 6507131042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
10475 Perry Hwy
Ste 106G
Wexford, PA 15090
Phone (877) 407-4322
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | PA | Yes |
Addresses
Primary practice location
1127 S 46TH St
Philadelphia, PA 19143-3734
Mailing address
1127 S 46TH St
Philadelphia, PA 19143-3734
Phone (717) 682-5617
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- Robert L Acello
- Amanda Acevedo
- Jessica Acevedo
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All providers in Philadelphia, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.