Individual provider Active NPI

Alexis R Orford, PTA

  • Physical Therapy Assistant
  • Newaygo, MI
National Provider Identifier
1285102996
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502002716 Issued in MI
Practice address
585 Fremont St
Newaygo, MI 49337-9766
Phone
(231) 652-3869
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502002716 MI Primary

Addresses

Primary practice location

585 Fremont St
Newaygo, MI 49337-9766

Mailing address

585 Fremont St
Newaygo, MI 49337-9766
Phone (231) 652-3869

Other practice location 1

1712 Holton Rd Ste B
Muskegon, MI 49445-3408
Phone (231) 719-1921

Other practice location 2

854 Washington Ave Ste 200
Holland, MI 49423-7143
Phone (616) 392-9430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5502002716MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1285102996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 FREMONT ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379766",
            "telephone_number": "231-652-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 FREMONT ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379766",
            "telephone_number": "231-652-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Holton Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494453408",
            "country_code": "US",
            "telephone_number": "231-719-1921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "854 Washington Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494237143",
            "country_code": "US",
            "telephone_number": "616-392-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORFORD",
        "first_name": "ALEXIS",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newaygo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.