Individual provider Active NPI

Alexis Madrid, MS, OTR/L

  • Occupational Therapist
  • Erie, PA
National Provider Identifier
1841753548
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC021082 Issued in PA
Practice address
2101 Nagle Rd
Erie, PA 16510-2189
Phone
(814) 877-7078
NPI assigned
Apr 9, 2019
Reactivated
Oct 16, 2025
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 OC021082 PA Primary

Addresses

Primary practice location

2101 Nagle Rd
Erie, PA 16510-2189

Mailing address

334 E 36TH St
Erie, PA 16504-1612

Other practice location 1

2601 W 26th St
Erie, PA 16506-3063
Phone (814) 454-4447

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC021082PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Network, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1841753548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E 36TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NAGLE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102189",
            "telephone_number": "814-877-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165063063",
            "country_code": "US",
            "telephone_number": "814-454-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRID",
        "first_name": "ALEXIS",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "deactivation_date": "2025-09-25",
        "reactivation_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC021082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.