Individual provider Active NPI

Alexandra Podell, OT, OTD, OTR

  • Occupational Therapist
  • Waltham, MA
National Provider Identifier
1881427771
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTL15420 Issued in MA
Practice address
179 Bear Hill Rd Ste 105
Waltham, MA 02451-1063
Phone
(781) 895-9500
Fax
(781) 895-4800
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 OTL15420 MA Primary

Addresses

Primary practice location

179 Bear Hill Rd Ste 105
Waltham, MA 02451-1063

Mailing address

233 Corey Rd
Brighton, MA 02135-8323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923001004 MA Practitioner - Occupational Therapist in Private Practice 4082155718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multiple Sclerosis Specialty Center LLCGroup PAC ID 0244555647, 20 clinicians

Practice addresses (Care Compare)

179 Bear Hill Rd
Suite 105
Waltham, MA 02451-1063
Phone (781) 895-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTL15420MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multiple Sclerosis Specialty Center, LLC CurrentSince Aug 29, 2024 Accepting new patients

Locations

179 Bear Hill Rd
Ste 105
Waltham, MA 02451
Phone (781) 895-9500

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1881427771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 COREY RD",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021358323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BEAR HILL RD STE 105",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511063",
            "telephone_number": "781-895-9500",
            "fax_number": "781-895-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODELL",
        "first_name": "ALEXANDRA",
        "credential": "OT, OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "OTL15420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.