Individual provider Active NPI

Alexandra Minkoff

  • Occupational Therapist
  • Morristown, NJ
National Provider Identifier
1770031270
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01020800 Issued in NJ
Practice address
77 Madison Ave
Morristown, NJ 07960-7330
Phone
(973) 540-9800
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC014611 PA
Occupational Therapist 225X00000X 46TR01020800 NJ Primary

Addresses

Primary practice location

77 Madison Ave
Morristown, NJ 07960-7330

Mailing address

206 Spring Ridge Dr
Berkeley Heights, NJ 07922-2052

Other practice location 1

625 Walnut St
McKeesport, PA 15132-2806
Phone (412) 673-5005

Other identifiers 1

IdentifierTypeStateIssuer
1770031270MedicaidPA

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address minkoffa3@upmc.edu Direct
Direct Messaging Address minkoffa3@Upmc.edu Health Information Exchange (HIE)
Direct Messaging Address upmchospitals@upmcdirect.com Health Information Exchange (HIE)
Direct Messaging Address Amin75158@selectrehab.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01020800NJMDOccupational Therapist
OC014611PAMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: amin75158@selectrehab.com

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1770031270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SPRING RIDGE DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607330",
            "telephone_number": "973-540-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Walnut St",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151322806",
            "country_code": "US",
            "telephone_number": "412-673-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINKOFF",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014611",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01020800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770031270",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "minkoffa3@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "625 Walnut St",
            "city": "McKeesport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151322806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "minkoffa3@Upmc.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "625 Walnut St",
            "city": "McKeesport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151322806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "625 Walnut St",
            "city": "McKeesport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151322806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amin75158@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "77 Madison Ave",
            "city": "Morristown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079607330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.