Individual provider Active NPI

Alexis Nicole Morales, OTD, OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1467022160
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
278663 Issued in KY
Practice address
13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984
Phone
(502) 244-1210
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 14032 MA
Occupational Therapist 225X00000X 278663 KY Primary

Addresses

Primary practice location

13010 Eastgate Park Way Ste 101
Louisville, KY 40223-3984

Mailing address

2720 Alanmede Rd
Louisville, KY 40205-3108
Phone (239) 292-2597

Other practice location 1

4 Militia Dr Ste 18
Lexington, MA 02421-4714
Phone (781) 861-0695

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
278663KYMDOccupational Therapist
14032MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1467022160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 ALANMEDE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053108",
            "telephone_number": "239-292-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 EASTGATE PARK WAY STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233984",
            "telephone_number": "502-244-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Militia Dr Ste 18",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024214714",
            "country_code": "US",
            "telephone_number": "781-861-0695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "14032",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "278663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.