Alexis Nicole Whalley, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8412 Issued in NC

Practice address

450 New Market Blvd
Suite 3
Boone, NC 28607-5494

Phone

(828) 355-9584

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By 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 Lilly Former name

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1215286380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 INDIAN PAINT BRUSH DR",
            "address_2": "UNIT R1111",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286049879",
            "telephone_number": "304-552-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD",
            "address_2": "SUITE 3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075494",
            "telephone_number": "828-355-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALLEY",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "LILLY",
            "middle_name": "NICOLE",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Boone, NC
• Providers in Boone, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.