Alexandra Adriene Vallo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118872 Issued in TX

Practice address

7701 Las Colinas RDG Ste 110
Irving, TX 75063-7552

Phone

(214) 574-7848

NPI assigned

Mar 29, 2018

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

Other names 1

• Ms. Alexandra Adreine Lynch Former name

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1487159562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ROMAN RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750503215",
            "telephone_number": "121-480-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 LAS COLINAS RDG STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637552",
            "telephone_number": "214-574-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLO",
        "first_name": "ALEXANDRA",
        "middle_name": "ADRIENE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "LYNCH",
            "middle_name": "ADREINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.