Individual provider Active NPI

Alexis Ann Mullane

  • Occupational Therapist
  • Gainesville, GA
National Provider Identifier
1346484771
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004698 Issued in GA
Practice address
7985 Knight Rd
Gainesville, GA 30506-6427
Phone
(678) 770-9379
NPI assigned
Apr 29, 2009
Last updated
May 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004698 GA Primary

Addresses

Primary practice location

7985 Knight Rd
Gainesville, GA 30506-6427

Mailing address

3015 Gardner Drive
Alpharetta, GA 30009
Phone (678) 770-9379

Other names 1

  • Alexis Mullane Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125001912 GA Practitioner - Physical Therapist in Private Practice 3072872712 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT004698GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Ga, LLC Occupational Therapist CurrentSince Oct 1, 2024 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Nov 1, 2020 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Nov 1, 2020 Accepting new patients
The Weston Group Inc. CurrentSince Oct 10, 2017 Accepting new patients
The Weston Group Inc. Occupational Therapist CurrentSince Oct 10, 2017 Accepting new patients

Locations

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

125 Riverstone Ter
Canton, GA 30114
Phone (770) 479-0472

Organizations & group practices 5

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1346484771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 GARDNER DRIVE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "678-770-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 KNIGHT RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066427",
            "telephone_number": "678-770-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANE",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "MULLANE",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.