Individual provider Active NPI

Alexa Dominique Chrisos

  • Occupational Therapist
  • Winston Salem, NC
National Provider Identifier
1861087371
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
520 Power Plant Cir Apt 302
Winston Salem, NC 27101-4193
Phone
(704) 281-5335
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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 Primary

Addresses

Primary practice location

520 Power Plant Cir Apt 302
Winston Salem, NC 27101-4193

Mailing address

520 Power Plant Cir Apt 302
Winston Salem, NC 27101-4193
Phone (704) 281-5335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925002863 NC Practitioner - Occupational Therapist in Private Practice 4385098383 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15806NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Occupational Therapist CurrentSince Jul 8, 2023 Accepting new patients
Physical Therapy and Hand Specialists, LLC Occupational Therapist CurrentSince Jul 8, 2023 Accepting new patients
Benchmark Physical Therapy of NC, LLC Occupational Therapist CurrentSince Jul 8, 2023 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Jul 8, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

2001 N Church St
Ste 230
Greensboro, NC 27405
Phone (336) 275-1711

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

Organizations & group practices 4

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1861087371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 POWER PLANT CIR APT 302",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014193",
            "telephone_number": "704-281-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 POWER PLANT CIR APT 302",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014193",
            "telephone_number": "704-281-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISOS",
        "first_name": "ALEXA",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.