Individual provider Active NPI

Alexandra Frieder, OTR/L

  • Occupational Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1942812680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT20860 Issued in FL
Practice address
4928 SW 33Rd Way
Fort Lauderdale, FL 33312-7932
Phone
(954) 304-7115
NPI assigned
Aug 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 OT20860 FL Primary

Addresses

Primary practice location

4928 SW 33Rd Way
Fort Lauderdale, FL 33312-7932

Mailing address

4928 SW 33Rd Way
Fort Lauderdale, FL 33312-7932
Phone (954) 304-7115

Other names 1

  • Alexandra Ghitelman Former name

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

LicenseStateTypeSpecialty
OT20860FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598054400000",
    "number": "1942812680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 SW 33RD WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127932",
            "telephone_number": "954-304-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 SW 33RD WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127932",
            "telephone_number": "954-304-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDER",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "GHITELMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.