Adrianna Alexander, MSOT, BCPR
Individual provider Active NPI Occupational Therapist · Brockton, MA
NPI 1720445802 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1720445802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 11766 (MA)
- Practice address
- 940 Belmont St
Brockton, MA 02301-5596 - Phone
- (617) 921-7891
- NPI assigned
- Jan 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1551 Aristides Blvd
Apt 1102
Lexington, KY 40511-1580
228 Park Ave S
Suite 36053
New York, NY 10003-1502
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251119002046 | MA | Practitioner - Occupational Therapist in Private Practice | 9739670597 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11766 | MA | MD | Occupational Therapist |
| 348165 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH Therapy Services | Occupational Therapist | Current |
Accepting new patients |
| JH Therapy Services | Occupational Therapist | Current |
Accepting new patients |
Locations
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 348165 | OR | |
| Occupational Therapist | 225X00000X | 11766 | MA | Yes |
Addresses
Primary practice location
940 Belmont St
Brockton, MA 02301-5596
Mailing address
940 Belmont St # Sr
Brockton, MA 02301-5596
Other providers in Brockton, MA
- Randi Alarid
- Albert a. Ackil, M.D., Inc.
- Fabienne Alce
- Jordan Amber Aldridge
- Cherrylyn Alejo
- Doloresse Alexandre
- Hetsron Nepheg Alexandre
- Josue Alexandre
- Megan Lois Alexandre
- Nashaley Alfama
All providers in Brockton, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.