Active NPI
Alana Reynolds, OTR/L
- Occupational Therapist
- Clayton, NM
National Provider Identifier
1538533435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11504
- Practice address
- 419 Harding St
Clayton, NM 88415-3323 - Phone
- (413) 626-6361
- NPI assigned
- Nov 16, 2015
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4067 | NM | |
| Occupational Therapist | 225X00000X | 11504 | MA | Primary |
Addresses
Primary practice location
419 Harding St
Clayton, NM 88415-3323
Mailing address
300 E Park St
Marquette, MI 49855-3629
Other practice location 1
239 Mill St Ste Bb
Worcester, MA 01602-3191
Phone (508) 752-8466 ext. 1241
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 |
|---|---|---|---|
| 4067 | NM | MD | Specialist |
| 11504 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1538533435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E PARK ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 HARDING ST",
"city": "CLAYTON",
"state": "NM",
"postal_code": "884153323",
"telephone_number": "413-626-6361"
}
],
"practiceLocations": [
{
"address_1": "239 Mill St Ste Bb",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016023191",
"country_code": "US",
"telephone_number": "508-752-8466 x1241",
"fax_number": "774-243-6611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ALANA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "4067",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.