Individual provider Active NPI

Aubrey Alexander, MOTR/L

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1679137889
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3898 Issued in NM
Practice address
8224 Dellwood Rd NE
Albuquerque, NM 87110-2416
Phone
(505) 550-1192
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT3898 NM Primary

Addresses

Primary practice location

8224 Dellwood Rd NE
Albuquerque, NM 87110-2416

Mailing address

8224 Dellwood Rd NE
Albuquerque, NM 87110-2416
Phone (505) 550-1192

Other practice location 1

818 Menaul Blvd NW
Albuquerque, NM 87107-1245
Phone (505) 550-1192

Other names 1

  • Aubrey Petzoldt Former name

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

LicenseStateTypeSpecialty
OT3898NMMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1679137889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 DELLWOOD RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102416",
            "telephone_number": "505-550-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 DELLWOOD RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102416",
            "telephone_number": "505-550-1192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Menaul Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871071245",
            "country_code": "US",
            "telephone_number": "505-550-1192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "AUBREY",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "PETZOLDT",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.

Verify at the official NPI Registry.