Alexxa Palazzolo, MOTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201010557 Issued in MI

Practice address

30801 Jefferson Ave
Saint Clair Shores, MI 48082-1732

Phone

(586) 293-1234

NPI assigned

Apr 15, 2019

Last updated

Apr 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apalazollo528772@direct.hfhs.org

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.

• Flourishing Lives Inc

  • Occupational Therapist
  • Saint Clair Shores, MI
  • NPI 1699377960
  NPD
• Level Eleven Howell, LLC

  • Clinic/Center
  • Howell, MI
  • NPI 1376321174
  NPD
• Level Eleven Saginaw, LLC

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1164201679
  NPD

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1881257095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56420 CHESAPEAKE TRL",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483165041",
            "telephone_number": "586-321-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30801 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821732",
            "telephone_number": "586-293-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZOLO",
        "first_name": "ALEXXA",
        "credential": "MOTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201010557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Padesky, M.D.
• Katie Alyssa Padula, M.A
• Kelly Page, LPN
• Dana Marie Paglia-King
• Brynn M Pajtas, D.D.S., M.S.
• Rebecca L Palen, LMSW
• Anthony Daniel Palm
• Susan Palmer
• Esmeralda Paluka, DDS
• Dimitrios Panagopoulos, DPM

• Pediatric Occupational Therapist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.