Healthcare Provider Details

I. General information

NPI: 1477461580
Provider Name (Legal Business Name): ALEXANDRA FELDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CHESTNUT ST STE 200
WORCESTER MA
01608-1557
US

IV. Provider business mailing address

520 HIGH ST APT 33B
MEDFORD MA
02155-6729
US

V. Phone/Fax

Practice location:
  • Phone: 800-244-2756
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number36843
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: