Individual provider Active NPI

Alexandra F Myers, OTD, OTR/L

  • Occupational Therapist
  • Spokane, WA
National Provider Identifier
1811469455
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-007533 Issued in AZ
Practice address
14404 N Dakota St
Spokane, WA 99208-8535
Phone
(509) 869-4839
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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 OTH-007533 AZ Primary

Addresses

Primary practice location

14404 N Dakota St
Spokane, WA 99208-8535

Mailing address

14404 N Dakota St
Spokane, WA 99208-8535
Phone (509) 869-4839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190322001979 WA Practitioner - Occupational Therapist in Private Practice 0749520013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-007533AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Physical Therapy P a Occupational Therapist CurrentSince Aug 22, 2023 Accepting new patients
Advanced Physical Therapy Inc Past Accepting new patients

Locations

2170 W Ironwood Center Dr
Ste B
Coeur D Alene, ID 83814
Phone (208) 667-1988

3009 S Grand Blvd
Spokane, WA 99203
Phone (208) 966-4176

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1811469455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14404 N DAKOTA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088535",
            "telephone_number": "509-869-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14404 N DAKOTA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088535",
            "telephone_number": "509-869-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ALEXANDRA",
        "middle_name": "F",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.