Active NPI
Alexandra Fabrizio, COTA
- Occupational Therapy Assistant
- Palmer, AK
National Provider Identifier
1770392508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 232574
- Practice address
- 7200 E Jim Cottrell Cir
Palmer, AK 99645 - Phone
- (907) 982-3897
- NPI assigned
- Jan 6, 2025
- 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 Therapy Assistant | 224Z00000X | 232574 | AK | Primary |
Addresses
Primary practice location
7200 E Jim Cottrell Cir
Palmer, AK 99645
Mailing address
4603 E Crowberry Dr
Wasilla, AK 99654-4513
Phone (303) 717-0104
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
| License | State | Type | Specialty |
|---|---|---|---|
| 232574 | AK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1770392508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4603 E CROWBERRY DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996544513",
"telephone_number": "303-717-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 E JIM COTTRELL CIR",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-982-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRIZIO",
"first_name": "ALEXANDRA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AK",
"license": "232574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.