Individual provider Active NPI

Alexis Kessaris, OTR/L

  • Occupational Therapist
  • Reading, PA
National Provider Identifier
1487280392
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC016876 Issued in PA
Practice address
1057 Van Reed Rd
Reading, PA 19605-9319
Phone
(610) 750-9131
Fax
(610) 743-8494
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 OC016876 PA Primary

Addresses

Primary practice location

1057 Van Reed Rd
Reading, PA 19605-9319

Mailing address

659 Sheerlund Rd
Reading, PA 19607-2225

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zealous Holistics LLC CurrentSince Apr 28, 2024 Accepting new patients
Ball and Socket Wellness LLC CurrentSince Aug 1, 2021 Accepting new patients
Paragon Health Chiropractic CurrentSince May 12, 2020 Accepting new patients

Locations

17 Main St
Ste 403
Robbinsville, NJ 08691
Phone (609) 686-2050

1057 Van Reed Rd
Reading, PA 19605
Phone (215) 206-0205

Organizations & group practices 3

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1487280392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 SHEERLUND RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196072225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 VAN REED RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059319",
            "telephone_number": "610-750-9131",
            "fax_number": "610-743-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSARIS",
        "first_name": "ALEXIS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.