Active NPI
Alexandra Lee Vericker, OT
- Occupational Therapist
- Cave City, AR
National Provider Identifier
1477067650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2017-037
- Practice address
- 401 S Main St
Cave City, AR 72521-9507 - Phone
- (870) 283-1034
- NPI assigned
- Nov 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2017-037 | AR | Primary |
Addresses
Primary practice location
401 S Main St
Cave City, AR 72521-9507
Mailing address
15 Mount Zion LN
Batesville, AR 72501-7026
Phone (870) 307-3624
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2017-037 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zion Therapy Services | Current | Accepting new patients | |
| From the Beginning CHMS Clinic | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Batesville, AR
- NPI 1770165482
-
- Developmental Disabilities Clinic/Center
- Cave City, AR
- NPI 1134252067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1477067650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MOUNT ZION LN",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725017026",
"telephone_number": "870-307-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S MAIN ST",
"city": "CAVE CITY",
"state": "AR",
"postal_code": "725219507",
"telephone_number": "870-283-1034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERICKER",
"first_name": "ALEXANDRA",
"middle_name": "LEE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-26",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OT2017-037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cave City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.