Javier Alvarez, COTA
Individual provider Active NPI Occupational Therapy Assistant · Prairie Du Chien, WI
NPI 1619027166 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619027166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1502027 (WI)
- Practice address
- 705 E Taylor St
Prairie Du Chien, WI 53821-2110 - Phone
- (608) 357-2000
- Fax
- (608) 357-2254
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1502027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1502027 | WI | Yes |
Addresses
Primary practice location
705 E Taylor St
Prairie Du Chien, WI 53821-2110
Mailing address
705 E Taylor St
Prairie Du Chien, WI 53821-2110
Phone (608) 357-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40846200 | Medicaid | WI |
Other providers in Prairie Du Chien, WI
- Allied Horsemanship, Inc
- Lacie L Anthony
- Paul Manton Barrineau
- Rebecca Lynne Bartels
- Sarah Benjamin
- Lisa L Bierman
All providers in Prairie Du Chien, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.