Individual provider Active NPI

Alex Withrow, OTD, OTR/L, CNS

  • Occupational Therapist
  • Santa Barbara, CA
National Provider Identifier
1740965649
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23996 Issued in CA
Practice address
2323 De la Vina St Ste 106
Santa Barbara, CA 93105-3878
Phone
(805) 682-3055
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 OT23996 CA Primary

Addresses

Primary practice location

2323 De la Vina St Ste 106
Santa Barbara, CA 93105-3878

Mailing address

2323 De la Vina St Ste 106
Santa Barbara, CA 93105-3878
Phone (805) 682-3055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817002703 CA Practitioner - Occupational Therapist in Private Practice 1658733902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

227 E Anapamu St
Santa Barbara, CA 93101-2005
Phone (800) 444-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
OT23996CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 7, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 7, 2025 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

4240 Town Center Blvd
El Dorado Hills, CA 95762
Phone (916) 693-7813

227 E Anapamu St
Santa Barbara, CA 93101
Phone (310) 531-3099

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1740965649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST STE 106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053878",
            "telephone_number": "805-682-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST STE 106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053878",
            "telephone_number": "805-682-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "ALEX",
        "credential": "OTD, OTR/L, CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT23996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.