Individual provider Active NPI

Alecia Luzi, OTR

  • Occupational Therapist
  • Brookfield, WI
National Provider Identifier
1316423882
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6050-26 Issued in WI
Practice address
19601 W Bluemound Rd Ste 120
Brookfield, WI 53045-5974
Phone
(262) 771-0065
NPI assigned
Jul 17, 2018
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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
Occupational Therapist 225X00000X 6050-26 WI Primary

Addresses

Primary practice location

19601 W Bluemound Rd Ste 120
Brookfield, WI 53045-5974

Mailing address

PO Box 411517
Boston, MA 02241-1517
Phone (914) 294-4050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820003044 WI Practitioner - Occupational Therapist in Private Practice 6709281298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6050-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Wisconsin Peds, LLC Occupational Therapist CurrentSince Aug 4, 2024 Accepting new patients

Locations

19601 W Bluemound Rd
Ste 120
Brookfield, WI 53045
Phone (262) 771-0065

Organizations & group practices 1

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1316423882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411517",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411517",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19601 W BLUEMOUND RD STE 120",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455974",
            "telephone_number": "262-771-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZI",
        "first_name": "ALECIA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6050-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

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

Verify at the official NPI Registry.