Alexandra Faith Phillips, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1548 Issued in WV

Practice address

957 National Hwy
Lavale, MD 21502-7356

Phone

(240) 362-7718

NPI assigned

Aug 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

West Virginia University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

X-Cel Performance Rehab LLCGroup PAC ID 6608173877, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• X-Cel Performance Rehab LLC

  • Physical Rehabilitation Occupational Therapist
  • Ridgeley, WV
  • NPI 1891168381
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1891076220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 FRANKFORT HWY",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267537772",
            "telephone_number": "304-738-4045",
            "fax_number": "304-738-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027356",
            "telephone_number": "240-362-7718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Charles Town Rd",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254055626",
            "country_code": "US",
            "telephone_number": "304-264-0794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ALEXANDRA",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1548",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zimuzoh Orakwue
• Leslie Renee Paugh
• Richard Matthew Pesta, OD
• Loretta Clarise Pettiford, MSW,LICSW,LCSW-C,C.P
• Roberta Phillip, HIS
• Macie Leigh Phillips
• Alisa Catherine Platt, ADT3590
• Mallory Nicole Powell, AUD
• Winona R Powers
• Barbara Pyle, CRNP

• Occupational Therapist in Lavale, MD
• Providers in Lavale, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.