Individual provider Active NPI

Alexi Wilson, MOTR/L

  • Pediatric Occupational Therapist
  • Metairie, LA
National Provider Identifier
1720425853
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTT.200838 Issued in LA
Practice address
3105 18TH St
Metairie, LA 70002-4904
Phone
(504) 866-6990
Fax
(504) 866-6991
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTT.200838 LA Primary

Addresses

Primary practice location

3105 18TH St
Metairie, LA 70002-4904

Mailing address

101 River Rd Ste 112
Jefferson, LA 70121-4226
Phone (504) 866-6990

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
OTT.200838LAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crane Rehab Center Occupational Therapist CurrentSince Aug 25, 2024 Accepting new patients
Crane Rehab Center LLC Occupational Therapist Past Accepting new patients
Crane Rehab Center LLC PastSince Jul 24, 2022 Accepting new patients

Locations

3105 18th St
Metairie, LA 70002
Phone (504) 866-6990

3923 Bienville St
New Orleans, LA 70119
Phone (504) 593-6900

1055 Saint Charles Ave
Ste 100
New Orleans, LA 70130
Phone (504) 293-2454

101 River Rd
Ste 112
New Orleans, LA 70121
Phone (504) 828-7696

8300 Earhart Blvd
Ste 100
New Orleans, LA 70118
Phone (504) 866-6990

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1720425853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER RD STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-866-6990",
            "fax_number": "504-866-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 18TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024904",
            "telephone_number": "504-866-6990",
            "fax_number": "504-866-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEXI",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.200838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.