Individual provider Active NPI

Alexis Delia Bonzey

  • Occupational Therapist
  • Winslow, ME
National Provider Identifier
1679921324
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3131 Issued in ME
Practice address
14 Fuller Dr
Winslow, ME 04901-7617
Phone
(207) 899-5912
NPI assigned
Jun 2, 2016
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 OT3131 ME Primary

Addresses

Primary practice location

14 Fuller Dr
Winslow, ME 04901-7617

Mailing address

14 Fuller Dr
Winslow, ME 04901-7617
Phone (207) 899-5912

Other names 1

  • Alexis Delia Stewart Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523000967 ME Practitioner - Occupational Therapist in Private Practice 4486010162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

165 Capitol St
Augusta, ME 04330-6232
Phone (207) 777-7740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc Current Accepting new patients
Androscoggin Home Health Services, Inc. CurrentSince Apr 15, 2023 Accepting new patients
Androscoggin Home Health Services, Inc. Occupational Therapist CurrentSince Apr 15, 2023 Accepting new patients
Androscoggin Home Health Services, Inc. Occupational Therapist Past Accepting new patients

Locations

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

1073 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-0200

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

710 Main St
#1
Lewiston, ME 04240
Phone (207) 741-1345

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

180 Main St
Waterville, ME 04901
Phone (207) 827-5300

Organizations & group practices 4

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1679921324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FULLER DR",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049017617",
            "telephone_number": "207-899-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FULLER DR",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049017617",
            "telephone_number": "207-899-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONZEY",
        "first_name": "ALEXIS",
        "middle_name": "DELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "STEWART",
            "middle_name": "DELIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winslow, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.