Active NPI
Alicia Grace Bigelow
- Occupational Therapist
- Conshohocken, PA
National Provider Identifier
1740936608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018321
- Practice address
- 1628 Butler Pike
Conshohocken, PA 19428-1227 - Phone
- (610) 832-5335
- NPI assigned
- Mar 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC018321 | PA | Primary |
Addresses
Primary practice location
1628 Butler Pike
Conshohocken, PA 19428-1227
Mailing address
108 Farmhouse Dr
Audubon, PA 19403-1742
Phone (267) 644-5965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220712000020 | PA | Practitioner - Occupational Therapist in Private Practice | 8628458338 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC018321 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Rehabclinics (SPT), Inc. | Current | Accepting new patients |
Locations
1628 Butler Pike
Conshohocken, PA 19428
Phone (610) 832-5335
604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1740936608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FARMHOUSE DR",
"city": "AUDUBON",
"state": "PA",
"postal_code": "194031742",
"telephone_number": "267-644-5965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 BUTLER PIKE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281227",
"telephone_number": "610-832-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGELOW",
"first_name": "ALICIA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC018321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.