Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Gordon

Individual provider Occupational Therapist · NPI 1962090894

Alexis Gordon is an Occupational Therapist in Private Practice in New York, New York. Qualified in 2023, 3 years ago. Practices with Spear Physical and Occupational Therapy, LLC, a 577-clinician group and accepts Medicare assignment. Licensed in New York and Ohio.

Years since qualifying
3
Licensed in
NY, OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

652 Broadway
New York, NY 10012-2316
Phone: (646) 847-1635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 030269 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence OT012767 (OH)

Record details

NPI number1962090894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Spear Physical And Occupational Therapy, Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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