Alexander Giordano, OTR/L
Individual provider Active NPI Occupational Therapist · Godfrey, IL
NPI 1790287035 · NPPES record last updated Mar 2, 2018
Key facts
- NPI
- 1790287035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056012406 (IL)
- Practice address
- 812 Airport Rd
Godfrey, IL 62035-2920 - Phone
- (618) 466-2134
- NPI assigned
- Mar 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056012406 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056012406 | IL | Yes |
Addresses
Primary practice location
812 Airport Rd
Godfrey, IL 62035-2920
Mailing address
812 Airport Rd
Godfrey, IL 62035-2920
Other providers in Godfrey, IL
- Shawtika Gardner
- Brianna Elizabeth Gaughan
- Sarah Gieszelmann
- Alyssa Marie Gilleland
- Aaron Gingrich
- Godfrey Healthcare & Rehabilitation Center LLC
- Godfrey Prescription Shoppe
- Daphne Joanna Gonzalez Aponte
- Stanley Gooding
- Jennifer Sue Gottlob
All providers in Godfrey, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.