Individual provider Active NPI

Dyan Alexander, OTR/L

  • Occupational Therapist
  • Denton, TX
National Provider Identifier
1326438144
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
110334 Issued in TX
Practice address
1919 Brinker Rd
Denton, TX 76208
Phone
(940) 503-1178
NPI assigned
Feb 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 OT0000004460 TN
Occupational Therapist 225X00000X 110334 TX Primary

Addresses

Primary practice location

1919 Brinker Rd
Denton, TX 76208

Mailing address

11 Panorama TRL
Trophy Club, TX 76262-5603
Phone (817) 271-9881

Other practice location 1

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 481-1588

Other practice location 2

1650 W College St
Grapevine, TX 76051
Phone (817) 481-1588

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
110334TXMDClinical Social Worker
OT0000004460TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1326438144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PANORAMA TRL",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625603",
            "telephone_number": "817-271-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BRINKER RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-503-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W College St",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513565",
            "country_code": "US",
            "telephone_number": "817-481-1588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 W College St",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "76051",
            "country_code": "US",
            "telephone_number": "817-481-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DYAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000004460",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.