Alexandra Elizabeth Loy
Individual provider Active NPI Developmental Therapist · Beaverville, IL
NPI 1700436755 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1700436755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 2803 E 2900 North Rd
Beaverville, IL 60912-7051 - Phone
- (815) 216-8742
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
2803 E 2900 North Rd
Beaverville, IL 60912-7051
Mailing address
2803 E 2900 North Rd
Beaverville, IL 60912-7051
Phone (815) 216-8742
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. 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.