Individual provider Active NPI

Alexandra Besecker, MS, OTR/L

  • Occupational Therapist
  • Buffalo, NY
National Provider Identifier
1548527377
Registry record updated Apr 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017369-1 Issued in NY
Practice address
1360 Eggert Rd
Buffalo, NY 14226-3354
Phone
(716) 835-0417
NPI assigned
Apr 18, 2012
Last updated
Apr 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2012

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 017369-1 NY Primary

Addresses

Primary practice location

1360 Eggert Rd
Buffalo, NY 14226-3354

Mailing address

3233 Main St
Buffalo, NY 14214-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107001352 NY Practitioner - Occupational Therapist in Private Practice 8921364084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017369-1NYMDOccupational Therapist
017369NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Discovery Inc CurrentSince Jan 1, 2017 Accepting new patients
The Center for Discovery Inc CurrentSince Jan 1, 2017 Accepting new patients

Locations

606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335052800000",
    "number": "1548527377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 EGGERT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142263354",
            "telephone_number": "716-835-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESECKER",
        "first_name": "ALEXANDRA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017369-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.