Alix Ann Coleman, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

147521 Issued in AK

Practice address

5080 Burge Ave Apt D
Jber, AK 99506-1179

Phone

(986) 888-0349

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1992309702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 80 BOX 10316",
            "city": "APO",
            "state": "AP",
            "postal_code": "963670006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 BURGE AVE APT D",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995061179",
            "telephone_number": "986-888-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ALIX",
        "middle_name": "ANN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "147521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin James Clark, M.D.
• Wade Bror Clauson, LPN
• Rachel Clayton
• Matthew Coddington, DPT
• Eric W Colegrove, O.D.
• Lindsey Tyler Colgan, RD
• Megan Cook, DO
• Jaron B Coombs, D.O.
• Andrew Lewis Cornelius, M.D.
• Aaron Kendall Cotney, DO

• All providers in Jber, AK
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.