Alexandra Marie Kotowski, MS-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP100401 Issued in MA

Practice address

1565 Main St Ste 1B
Tewksbury, MA 01876-4735

Phone

(978) 257-1564

Fax

(978) 488-4011

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1639918592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MAIN STREET, SUIT 1B",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "01876",
            "telephone_number": "978-257-1564",
            "fax_number": "978-488-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MAIN ST STE 1B",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764735",
            "telephone_number": "978-257-1564",
            "fax_number": "978-488-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOWSKI",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP100401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie King
• Annette G Kivumbi, APRN PMHNP-BC
• Cheryl M Knowles
• Kayla Dorothy Kohanski, OTR/L
• Dusuba Mmah Koroma, MA
• Erin N. Krol, LICSW
• James K Kuin, M.D.
• Angela I Kulesza, F.N.P.
• Lahoti Family Dentistry, LLC (Dental Care of Tewksbury)
• Nicole Maria Lanzo, NP

• Speech-Language Pathologist in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.