Alexandria Nikole Bastin, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011228 Issued in OH

Practice address

200 Timberline Dr
Marietta, OH 45750-9238

Phone

(740) 376-0535

NPI assigned

Aug 22, 2023

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)

Enrolled

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1124802962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45160 SWAZEY RD",
            "city": "LEWISVILLE",
            "state": "OH",
            "postal_code": "437549412",
            "telephone_number": "919-320-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TIMBERLINE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509238",
            "telephone_number": "740-376-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIN",
        "first_name": "ALEXANDRIA",
        "middle_name": "NIKOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela S. Barron, LSW
• Thomas B Barsh, PA-C
• Nicholas Barton, LCDC III
• Tom Wirth Bartsokas, MD
• Thara Basavaiah, M.D.
• Julie Amber Bates
• Tremayne A Battle
• Bauer Vision Center
• Mark T Bauer, L.D.O.
• Cade Anthony Baughman

• Occupational Therapist in Marietta, OH
• Providers in Marietta, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.