Active NPI
Alexa Lagrande, OTR/L
- Occupational Therapist
- Latham, NY
National Provider Identifier
1245903020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025959
- Practice address
- 711 Troy Schenectady Rd Ste 216
Latham, NY 12110-2461 - Phone
- (518) 786-1665
- Fax
- (518) 785-0056
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025959 | NY | Primary |
Addresses
Primary practice location
711 Troy Schenectady Rd Ste 216
Latham, NY 12110-2461
Mailing address
711 Troy Schenectady Rd Ste 209
Latham, NY 12110-2481
Phone (518) 786-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07874702 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025959 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicolla and Associates, PT & OT Services, PLLC | Current | Accepting new patients | |
| Thomas Nicolla Consulting Services, PLLC | Current | Accepting new patients | |
| Thomas Nicolla Consulting Services, PLLC | Past | Accepting new patients |
Locations
1367 Washington Ave
Ste 100
Albany, NY 12206
Phone (518) 438-7926
711 Troy Schenectady Rd
Ste 209
Latham, NY 12110
Phone (518) 786-1667
711 Troy Schenectady Rd
Ste 216
Latham, NY 12110
Phone (518) 786-1665
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 and National Provider Directory roles.
-
- Specialist
- Latham, NY
- NPI 1487633152
-
- Physical Therapist
- Stamford, NY
- NPI 1770636060
-
- Specialist
- Latham, NY
- NPI 1992850564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1245903020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 209",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102481",
"telephone_number": "518-786-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 216",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-786-1665",
"fax_number": "518-785-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRANDE",
"first_name": "ALEXA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07874702",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.