Alexandra Grace Stone, OTR/L
Occupational Therapist in Jackson, WY. Individual provider (NPI-1).
NPI number1104497205
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1104497205
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Grace Stone
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-1577 | WY | Yes |
| 225X00000X | Occupational Therapist | OT007584 | GA |
Other names
- Alexandra G Anthony (Former Name)
Practice location
555 E Broadway Ave # 100Jackson, WY 83001-8640
Phone 307-739-1864
Mailing address
1152 S Park Loop Rd Unit EJackson, WY 83001-9598
Phone 770-827-0330
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Occupational Therapist providers in Jackson · All 813 providers in Jackson
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