Individual provider Active NPI

Alexandra Lee Vericker, OT

  • Occupational Therapist
  • Cave City, AR
National Provider Identifier
1477067650
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2017-037 Issued in AR
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

Updated by the provider on Apr 22, 2021

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 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

LicenseStateTypeSpecialty
OT2017-037ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Therapy Services CurrentSince Apr 25, 2021 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.

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.

Verify at the official NPI Registry.