Active NPI
Alexandra Micek
- Occupational Therapist
- Woodridge, IL
National Provider Identifier
1538638341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.012775
- Practice address
- 7925 Janes Ave
Woodridge, IL 60517-3821 - Phone
- (850) 207-9116
- NPI assigned
- Nov 21, 2018
- Last updated
- Oct 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.012775 | IL | Primary |
Addresses
Primary practice location
7925 Janes Ave
Woodridge, IL 60517-3821
Mailing address
7925 Janes Ave
Woodridge, IL 60517-3821
Phone (850) 207-9116
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 |
|---|---|---|---|
| 056.012775 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1538638341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 JANES AVE",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173821",
"telephone_number": "850-207-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 JANES AVE",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173821",
"telephone_number": "850-207-9116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICEK",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.012775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodridge, IL
- Amanda Lauren Mendez, BCBA
- Metro Foot and Ankle Center, P.C.
- Metropolitan Family Services
- Jane Ellen Meulink, RN
- Sheila Meyer
- David George Midlick, C.C.T,BA
- Midlick's Medical Imaging Inc.
- Midwest Anesthesia and Pain Specialists SC
- Midwest Optometric Services P C
- Midwest Rehabilitation Services, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.