Alexandra Fanning, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0006221 Issued in CO

Practice address

725 Gallup Rd
Fort Collins, CO 80521-3101

Phone

(913) 742-1327

NPI assigned

Oct 29, 2019

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

Other identifiers 2

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 and National Provider Directory roles.

• Above and Beyond Therapy, LLC

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1134675986
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1124662556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GALLUP RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213101",
            "telephone_number": "913-742-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GALLUP RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213101",
            "telephone_number": "913-742-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "ALEXANDRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0006221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS/GROUP NPI",
            "identifier": "113467986",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25135058",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Machan Faltermier, PHARM.D.
• Family First Speech Language Therapy
• Family Health Care of the Rockies
• Family Physical Therapy Center, P.C.
• Stephanie Marissa Fanelli, PHD, MS, RDN
• Navid Farahani, MD
• Janina E. Farinas, PH.D.
• Edward Farinelli Jr., D.C.
• Gary Faris, LPC
• Michele Anita Faris, PSY.D.

• Occupational Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.