Individual provider · Type 1 NPI

Alexis Gordon

Occupational Therapist · New York, NY

NPI number 1962090894 Active

Practice location

652 Broadway
New York, NY 10012-2316

Mailing address

102 Madison Ave Fl 8
New York, NY 10016-7584

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XOT012767 (OH)
Occupational Therapist Primary 225X00000X030269 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1962090894

Alexis Gordon's National Provider Identifier is 1962090894, issued on Jan 6, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New York, NY. The record was last updated on Jul 3, 2025.