Alexsander Sebuke, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.05631 Issued in OH

Practice address

8172 Deepwood Blvd
Unit 11
Mentor, OH 44060-9203

Phone

(440) 525-0888

NPI assigned

Sep 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1467853358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8172 DEEPWOOD BLVD",
            "address_2": "UNIT 11",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440609203",
            "telephone_number": "440-525-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8172 DEEPWOOD BLVD",
            "address_2": "UNIT 11",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440609203",
            "telephone_number": "440-525-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBUKE",
        "first_name": "ALEXSANDER",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA.05631",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Pauline Schultz, APRN.CNP
• Norbert Paul Schutte, M.D.
• Donna Leann Scott, MSSA, LISW
• Harry Seabright
• Tiffany Seames, RN
• Candice M Secotte
• Carly Sekerak
• Lora Grace Selle
• Ellen Selva, OTR/L
• Serenity Counseling Solutions, LLC

• Occupational Therapy Assistant in Mentor, OH
• Providers in Mentor, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.