Alexandra K Whitcomb

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202008469 Issued in MI

Practice address

25750 Lahser Rd
Southfield, MI 48033-5809

Phone

(248) 415-2500

NPI assigned

Jan 30, 2019

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alexandra K Poole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Irvine Neuro Rehabilitation

  • Clinic/Center
  • Southfield, MI
  • NPI 1972904209
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1801350210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25750 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335809",
            "telephone_number": "248-415-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25750 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335809",
            "telephone_number": "248-415-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "ALEXANDRA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "POOLE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juli A Whalen, CRNA
• Natakki Wheatley, M.D.
• Teryn Wheatley
• Belle Wherry
• Ryan Whitaker
• Angelita White-Hall, LMSW
• Jamie White
• Kaitlin White
• Keyonda Latrice White
• Kgothatso White

• Occupational Therapy Assistant in Southfield, MI
• Providers in Southfield, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.