Active NPI
Alexandra Martha Carlson, MS, OTR, CHT
- Occupational Therapist
- Mequon, WI
National Provider Identifier
1861437808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1135026
- Practice address
- 13111 N Port Washington Rd
Mequon, WI 53097-2416 - Phone
- (262) 243-7444
- Fax
- (262) 243-7486
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1135026 | WI | Primary |
Addresses
Primary practice location
13111 N Port Washington Rd
Mequon, WI 53097-2416
Mailing address
12920 W Graham St
New Berlin, WI 53151-2639
Phone (262) 796-1373
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1135026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861437808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12920 W GRAHAM ST",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531512639",
"telephone_number": "262-796-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530972416",
"telephone_number": "262-243-7444",
"fax_number": "262-243-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "ALEXANDRA",
"middle_name": "MARTHA",
"name_prefix": "Ms.",
"credential": "MS, OTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1135026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.