Individual provider Active NPI

Alexa Pettit

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1255202230
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17771 Issued in NC
Practice address
3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone
(910) 679-8385
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 46TR01180400 NJ
Occupational Therapist 225X00000X 17771 NC Primary

Addresses

Primary practice location

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256

Mailing address

3611 Beverly Cove Way Apt 208
Wilmington, NC 28412-0829
Phone (973) 525-2040

Other practice location 1

1007 Olde Waterford Way
Leland, NC 28451-4102
Phone (980) 255-3225

Other practice location 2

100 W Fremont St Ste 100B
Burgaw, NC 28425-5543
Phone (336) 217-2031

Other practice location 3

4540 Technology Dr Ste 1
Wilmington, NC 28405-2183
Phone (980) 358-2901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000427 NC Practitioner - Occupational Therapist in Private Practice 9537655147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians
Coastline Therapy Group, LLCGroup PAC ID 5799023826, 17 clinicians

Practice addresses (Care Compare)

104 Towerview CT
Cary, NC 27513-3595
Phone (984) 477-0803

3901 Wrightsville Ave
Suite 120
Wilmington, NC 28403-6256
Phone (910) 679-8385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17771NCMDOccupational Therapist
46TR01180400NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Therapy Group, LLC Occupational Therapist CurrentSince Sep 22, 2025 Accepting new patients
Ivyrehab North Carolina LLC PastSince Mar 14, 2026 Accepting new patients
Coastal Speech and Reading Center Past Accepting new patients

Locations

100 W Fremont St
Ste 100B
Burgaw, NC 28425
Phone (336) 217-2031

1007 Olde Waterford Way
Leland, NC 28451
Phone (980) 255-3225

4540 Technology Dr
Ste 1
Wilmington, NC 28405
Phone (980) 358-2901

3901 Wrightsville Ave
Ste 120
Wilmington, NC 28403

4130 Oleander Dr
Ste 101
Wilmington, NC 28403

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1255202230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BEVERLY COVE WAY APT 208",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284120829",
            "telephone_number": "973-525-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 WRIGHTSVILLE AVE STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036256",
            "telephone_number": "910-679-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Olde Waterford Way",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514102",
            "country_code": "US",
            "telephone_number": "980-255-3225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Fremont St Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255543",
            "country_code": "US",
            "telephone_number": "336-217-2031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4540 Technology Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284052183",
            "country_code": "US",
            "telephone_number": "980-358-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01180400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.