Pristine Michelle Alexander, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-02361 Issued in KS

Practice address

10521 W 57TH Ter
Shawnee, KS 66203-2801

Phone

(913) 406-7063

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidd-Krafft Occupational and Physical Therapy PAGroup PAC ID 1254689169, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tidd-Krafft Occupational and Physical Therapy PA

  dba Powerback Rehabilitation

  • Physical Therapist
  • Overland Park, KS
  • NPI 1225541246
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245369073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 W 57TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032801",
            "telephone_number": "913-406-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 W 57TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032801",
            "telephone_number": "913-406-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "PRISTINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02361",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2006017622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol J. Akers, D.M.D.
• Julie Ann Al-Azzeh, APRN
• Huda H. Alani, MD
• Monica Alberty
• Paul Logan Aldeguer, RPH
• Lauren Alexandra, LPC
• Hina Sahar Ali, PHARMD
• Align Family Health & Wellness Center LLC
• All of Everybody
• All Spine Chiropractic and Wellness, LLC

• Occupational Therapist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.