MEDICARE: ALEXA STEVE 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	225XP0200X	Pediatric Occupational Therapist	1044	SD
2	225X00000X	Occupational Therapist	1044	SD

General Provider Information

NPI Number	:	1952823809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA STEVE MOT, OTR/L

Provider Business Mailing Address
First Line	:	803 SIOUX SAN DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8172
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	803 SIOUX SAN DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-8172
Country	:	US
Telephone Number	:	605-718-8449
Fax Number	:

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

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	06/29/2023

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