Active NPI
Alyxandra A Bryan
- Pediatric Occupational Therapist
- Orlando, FL
National Provider Identifier
1326594599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 17625
- Practice address
- 22 Lake Beauty Dr
Suite 304
Orlando, FL 32806-2037 - Phone
- (407) 896-1152
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 17625 | FL | Primary |
Addresses
Primary practice location
22 Lake Beauty Dr
Suite 304
Orlando, FL 32806-2037
Mailing address
825 Lowell Blvd
A28
Orlando, FL 32803-5281
Phone (850) 797-2762
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 17625 | FL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1326594599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 LOWELL BLVD",
"address_2": "A28",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035281",
"telephone_number": "850-797-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 LAKE BEAUTY DR",
"address_2": "SUITE 304",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062037",
"telephone_number": "407-896-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "ALYXANDRA",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 17625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.