Alexandria Nikole Bastin, OTD, OTR/L | |
200 Timberline Dr, Marietta, OH 45750-9238 | |
(740) 376-0535 | |
Not Available |
Full Name | Alexandria Nikole Bastin |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 200 Timberline Dr, Marietta, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124802962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT011228 (Ohio) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689194755 PECOS PAC ID: 6507832573 Enrollment ID: O20170822000887 |
Mailing Address | Practice Location Address |
---|---|
Alexandria Nikole Bastin, OTD, OTR/L 45160 Swazey Rd, Lewisville, OH 43754-9412 Ph: (919) 320-4598 | Alexandria Nikole Bastin, OTD, OTR/L 200 Timberline Dr, Marietta, OH 45750-9238 Ph: (740) 376-0535 |
Mr. Jason Ellis Moore, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Edmar Ave, Marietta, OH 45750 Phone: 740-373-0761 | |
Nicole Alexandria Lang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1338 Colegate Dr, Marietta, OH 45750 Phone: 740-373-6669 | |
Susan Jahn, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1338a Colegate Dr, Marietta, OH 45750 Phone: 740-373-6669 Fax: 740-376-5809 | |
Carrie Stutler, OTR/L, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 Timberline Dr, Marietta, OH 45750 Phone: 740-376-0535 | |
Kristi Florence, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 200 Timberline Dr, Marietta, OH 45750 Phone: 740-376-0535 | |
Deepak Curtin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Putnam St Ste 800, Marietta, OH 45750 Phone: 740-373-9446 Fax: 740-373-7074 |