MEDICARE: ALEXIS FARIA

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		NJ

General Provider Information

NPI Number	:	1427994466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS FARIA

Provider Business Mailing Address
First Line	:	12 JOSEPH CT
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-3031
Country	:	US
Telephone Number	:	973-903-0052
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 JOSEPH CT
Second Line	:
City	:	SPARTA
State	:	NJ
Zip	:	07871-3031
Country	:	US
Telephone Number	:	973-903-0052
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ ALEXIS FARIA ” Practice Location

Language	Start Address	Practice Location

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