Healthcare Provider Details

I. General information

NPI: 1861337297
Provider Name (Legal Business Name): ALEXIS RUGER OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 OLD ROCKY RIDGE RD STE 100
VESTAVIA HILLS AL
35216-7251
US

IV. Provider business mailing address

2151 OLD ROCKY RIDGE RD STE 100
VESTAVIA HILLS AL
35216-7251
US

V. Phone/Fax

Practice location:
  • Phone: 205-583-2883
  • Fax:
Mailing address:
  • Phone: 205-583-2883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number6866
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: