Individual provider Active NPI

Alexandra Frolov, OTR/L

  • Occupational Therapist
  • Fair Lawn, NJ
National Provider Identifier
1891998415
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00353300 Issued in NJ
Practice address
38-48 Van Riper PL
Fair Lawn, NJ 07410-5010
Phone
(201) 703-0534
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Occupational Therapist 225X00000X 46TR00353300 NJ Primary

Addresses

Primary practice location

38-48 Van Riper PL
Fair Lawn, NJ 07410-5010

Mailing address

38-48 Van Riper PL
Fair Lawn, NJ 07410-5010
Phone (201) 703-0534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140304001785 NJ Practitioner - Occupational Therapist in Private Practice 9234225046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

38 -48 Van Riper PL
Fair Lawn, NJ 07410-5010
Phone (201) 417-8675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00353300NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PMK Rehab,LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1891998415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38-48 VAN RIPER PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105010",
            "telephone_number": "201-703-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38-48 VAN RIPER PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105010",
            "telephone_number": "201-703-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROLOV",
        "first_name": "ALEXANDRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00353300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.