Individual provider Active NPI

Alexis Boodry, OTD

  • Occupational Therapist
  • Wakefield, MA
National Provider Identifier
1861270787
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15016 Issued in MA
Practice address
607 North Ave
Wakefield, MA 01880-1322
Phone
(781) 245-4446
NPI assigned
Sep 20, 2023
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 15016 MA Primary

Addresses

Primary practice location

607 North Ave
Wakefield, MA 01880-1322

Mailing address

60 Milk St Apt 2
Newburyport, MA 01950-3163
Phone (339) 203-7724

Other practice location 1

197 High St Ste 105
Ipswich, MA 01938-1269
Phone (978) 312-7412

Other names 1

  • Alexis Parent Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1861270787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MILK ST APT 2",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503163",
            "telephone_number": "339-203-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801322",
            "telephone_number": "781-245-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 High St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ipswich",
            "state": "MA",
            "postal_code": "019381269",
            "country_code": "US",
            "telephone_number": "978-312-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOODRY",
        "first_name": "ALEXIS",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "15016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "PARENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

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