Active NPI
Alexandria R Berkavich, MOT, OTR/L
- Occupational Therapist
- Indiana, PA
National Provider Identifier
1902513724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018846
- Practice address
- 1515 Wayne Ave
Indiana, PA 15701-4702 - Phone
- (724) 349-5300
- NPI assigned
- Nov 1, 2022
- Last updated
- Nov 1, 2022
- 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 | OC018846 | PA | Primary |
Addresses
Primary practice location
1515 Wayne Ave
Indiana, PA 15701-4702
Mailing address
3575 Spruce Grove Rd
Clymer, PA 15728-8540
Phone (724) 599-5849
Other names 1
- Mrs. Alexandria R Patterson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC018846 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1902513724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 SPRUCE GROVE RD",
"city": "CLYMER",
"state": "PA",
"postal_code": "157288540",
"telephone_number": "724-599-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 WAYNE AVE",
"city": "INDIANA",
"state": "PA",
"postal_code": "157014702",
"telephone_number": "724-349-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKAVICH",
"first_name": "ALEXANDRIA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC018846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRIA",
"last_name": "PATTERSON",
"middle_name": "R",
"prefix": "MRS.",
"credential": "MOT, OTR/L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.