Alexis Nicole Wunderlich, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1544 Issued in WV

Practice address

130 Kaufman Dr
Fairmont, WV 26554

Phone

(304) 363-5634

NPI assigned

Jun 2, 2011

Last updated

Sep 27, 2018By the provider in NPPES

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 names 1

• Alexis Nicole Bianco Other name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

West Virginia University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WV Therapy Services LLCGroup PAC ID 8123106416, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• WV Therapy Services LLC

  • Specialist
  • Bridgeport, WV
  • NPI 1063692333
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1174817530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 KENSINGTON AVE",
            "city": "STAR CITY",
            "state": "WV",
            "postal_code": "265052037",
            "telephone_number": "724-344-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KAUFMAN DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-363-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "BIANCO",
            "middle_name": "NICOLE",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• C'Anna Woodruff
• Leah Nichole Woodruff
• Delilah Ray Wright
• Kimberly R Wright, MS, PT
• Greg Joseph Wrobleski, DDS
• WV Durable Medical Equipment Co, LLC (MedCare WV)
• Wvdhhr John Manchin Sr Health Care Center
• Wvdhhr John Manchin Sr. Health Care Center
• Tenille Wyer
• Jennifer Wyne

• Occupational Therapist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.