Alexandra Marie Holmes, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0187341 Issued in NY

Practice address

139 Fairbanks Rd
Churchville, NY 14428-9782

Phone

(585) 293-1800

NPI assigned

Mar 31, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Churchville-Chili Central School District

  • Local Education Agency (LEA)
  • Churchville, NY
  • NPI 1285791020
  NPD (past)
• Hearing and Speech Center of Rochester Inc.

  • Audiologist
  • Rochester, NY
  • NPI 1548222821
  NPD (past)
• Rochester Hearing and Speech Center

  • Early Intervention Provider Agency
  • Rochester, NY
  • NPI 1932387131
  NPD (past)

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1174941975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FAIRBANKS RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289782",
            "telephone_number": "585-293-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FAIRBANKS RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289782",
            "telephone_number": "585-293-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 17147",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0187341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaila D Harriff
• Laural Harrington, RN
• Barry V Hasson, OTR/L
• Courtney Hayden
• Elizabeth Baltus Hebert, MS OTR
• Sandra Iacucci, RN
• Rozetta Johnson, LPN
• Samara Daeva Joy Johnson, ATC
• Anastasia Keisidis, R.N.
• John F. Kissel, PT

• Pediatric Occupational Therapist in Churchville, NY
• Providers in Churchville, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.