Alexandra Grace Dixon, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1440 Issued in AR

Practice address

719 Detroit Ave
Danville, AR 72833-9607

Phone

(479) 495-6252

Fax

(479) 495-6336

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Building Blocks Pediatric Therapy, PA

  • Developmentally Disabled Services Day Training Agency
  • Danville, AR
  • NPI 1417701079
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1467916635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10668 LYDIA LN",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728336890",
            "telephone_number": "479-495-0651",
            "fax_number": "479-495-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 DETROIT AVE",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728339607",
            "telephone_number": "479-495-6252",
            "fax_number": "479-495-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Dan Ark Circle",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "AR",
            "postal_code": "72833",
            "country_code": "US",
            "telephone_number": "479-495-0651",
            "fax_number": "479-795-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ALEXANDRA",
        "middle_name": "GRACE",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Davis
• Lauren Karee Davis
• John Denney
• Katelyn Elizabeth Derrick
• Clayton Andrew Dickerson, PHARMD
• Pamela Lou Dollar, APRN
• Brooklyn Dougan, M.S., CCC-SLP
• Katelyn Fink, MHPP
• Forrest L Moudy DDS PA Inc
• Shannon N Foster, OTRL

• Occupational Therapy Assistant in Danville, AR
• Providers in Danville, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.