Individual provider Active NPI

Alexandra G Wodzisz, MSOT, OTR/L

  • Occupational Therapist
  • Voorhees, NJ
National Provider Identifier
1376216333
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00986600 Issued in NJ
Practice address
300 W Somerdale Rd Ste 2B
Voorhees, NJ 08043-2236
Phone
(856) 504-3150
Fax
(856) 888-1314
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 46TR00986600 NJ Primary

Addresses

Primary practice location

300 W Somerdale Rd Ste 2B
Voorhees, NJ 08043-2236

Mailing address

300 W Somerdale Rd Ste 2B
Voorhees, NJ 08043-2266
Phone (856) 504-3150

Other names 1

  • Alexandra G Gravinese Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810000166 NJ Practitioner - Occupational Therapist in Private Practice 9638573959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Inc 1,169 clinicians

Practice addresses (Care Compare)

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00986600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Dec 1, 2022 Accepting new patients
Functional Independence Therapy Rehabilitation Inc Occupational Therapist CurrentSince Jul 27, 2021 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

300 W Somerdale Rd
Ste 2B
Voorhees, NJ 08043
Phone (856) 504-3150

306 W Somerdale Rd
Voorhees, NJ 08043
Phone (856) 504-3150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1376216333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SOMERDALE RD STE 2B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432266",
            "telephone_number": "856-504-3150",
            "fax_number": "856-888-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SOMERDALE RD STE 2B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432236",
            "telephone_number": "856-504-3150",
            "fax_number": "856-888-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODZISZ",
        "first_name": "ALEXANDRA",
        "middle_name": "G",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00986600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "GRAVINESE",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.