Active NPI
Alexa Brooke Bishop, OTR/L
- Occupational Therapist
- Evansville, IN
National Provider Identifier
1154793677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005964A
- Practice address
- 1449 Kimber LN
Suite 103a
Evansville, IN 47715-4067 - Phone
- (812) 401-5210
- Fax
- (812) 401-5220
- NPI assigned
- Oct 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31005964A | IN | Primary |
Addresses
Primary practice location
1449 Kimber LN
Suite 103a
Evansville, IN 47715-4067
Mailing address
1449 Kimber LN
Suite 103a
Evansville, IN 47715-4067
Phone (812) 401-5210
Other names 1
- Alexa Brooke Weigel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005964A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab for Life, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1154793677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 KIMBER LN",
"address_2": "SUITE 103A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154067",
"telephone_number": "812-401-5210",
"fax_number": "812-401-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 KIMBER LN",
"address_2": "SUITE 103A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154067",
"telephone_number": "812-401-5210",
"fax_number": "812-401-5220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "ALEXA",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005964A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXA",
"last_name": "WEIGEL",
"middle_name": "BROOKE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.