Individual provider Active NPI

Alexis Daggett, OTR/L

  • Occupational Therapist
  • Hampton, VA
National Provider Identifier
1942893987
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119008844 Issued in VA
Practice address
2713 Magruder Blvd Ste L
Hampton, VA 23666-1572
Phone
(757) 490-3223
Fax
(757) 490-2936
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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 0119008844 VA Primary

Addresses

Primary practice location

2713 Magruder Blvd Ste L
Hampton, VA 23666-1572

Mailing address

4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223

Other practice location 1

4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223

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
0119008844VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates Inc PastSince Feb 21, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1942893987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SOUTH BLVD STE 310",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521160",
            "telephone_number": "757-490-3223",
            "fax_number": "757-490-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 MAGRUDER BLVD STE L",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661572",
            "telephone_number": "757-490-3223",
            "fax_number": "757-490-2936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 South Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521160",
            "country_code": "US",
            "telephone_number": "757-490-3223",
            "fax_number": "757-490-2936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "ALEXIS",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.