Individual provider Active NPI

Alexis M Namyak, OTD, OTR/L

  • Occupational Therapist
  • Apollo Beach, FL
National Provider Identifier
1215633276
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24044 Issued in FL
Practice address
7510 Lantern Park Ave
Apollo Beach, FL 33572-1596
Phone
(607) 372-4081
NPI assigned
Feb 1, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Occupational Therapist 225X00000X 24044 FL Primary

Addresses

Primary practice location

7510 Lantern Park Ave
Apollo Beach, FL 33572-1596

Mailing address

7510 Lantern Park Ave
Apollo Beach, FL 33572-1596
Phone (607) 372-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250706000012 PA Practitioner - Occupational Therapist in Private Practice 1052751138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24044FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Extension Services LLC CurrentSince Jun 1, 2025 Accepting new patients
H2 Rehabilitation Extension Services, LLC Current Accepting new patients
H2 Rehabilitation Extension Services LLC Occupational Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

7 S New St
Ste 1
Nazareth, PA 18064
Phone (610) 755-8634

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1215633276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 LANTERN PARK AVE",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721596",
            "telephone_number": "607-372-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 LANTERN PARK AVE",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721596",
            "telephone_number": "607-372-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMYAK",
        "first_name": "ALEXIS",
        "middle_name": "M",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.