Active NPI
Alexis Lillie Lucas, MS, OTR/L
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1497068209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7381
- Practice address
- 4560 Princess Anne Rd
Virginia Beach, VA 23462-7905 - Phone
- (757) 474-1249
- Fax
- (757) 474-0193
- NPI assigned
- Jul 21, 2010
- 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 | 7381 | NC | Primary |
Addresses
Primary practice location
4560 Princess Anne Rd
Virginia Beach, VA 23462-7905
Mailing address
1130 Falls River Ave
Raleigh, NC 27614-7772
Phone (919) 803-2912
Other names 1
- Alexis Lillie McNeil
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7381 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1497068209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 FALLS RIVER AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147772",
"telephone_number": "919-803-2912",
"fax_number": "919-803-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 PRINCESS ANNE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627905",
"telephone_number": "757-474-1249",
"fax_number": "757-474-0193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "ALEXIS",
"middle_name": "LILLIE",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "MCNEIL",
"middle_name": "LILLIE",
"credential": "MS, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.