MEDICARE: ALEXANDRA NEWMAN MOT, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT25733	FL

General Provider Information

NPI Number	:	1215811161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA NEWMAN MOT, OTR/L

Provider Business Mailing Address
First Line	:	8951 SW 19TH ST APT D
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-7341
Country	:	US
Telephone Number	:	330-787-1473
Fax Number	:

Provider Business Practice Location Address
First Line	:	13550 S JOG RD STE 204
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3809
Country	:	US
Telephone Number	:	561-637-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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