ALEXANDRA TEDESCO – Occupational Therapist, NPI 1306416771

ALEXANDRA TEDESCO is a healthcare provider. based in Waltham, Massachusetts. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 13894 (MA). The NPI Number for ALEXANDRA TEDESCO is 1306416771

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA TEDESCO
NPI
1306416771
Phone
(781) 895-9500
Address
179 BEAR HILL RD
Enumeration Date
29 June 2021
Last Update Date
28 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7818959500
Graduation Year
2020 (6 years ago)
PAC ID
8325442742
Group Practice PAC ID
0244555647
Professional Enrollment ID
I20210806002789
Address ID
MA024511063WA179XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

370 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for ALEXANDRA TEDESCO

  • 179 BEAR HILL RD

    WALTHAM, MA 024511063

    Phone: (781) 895-9500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210806002789IOccupational Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,81068$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,75264$0
97750Test or measurement for functional capacity, each 15 minutes13848$0
97166Evaluation for occupational therapy, typically 45 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 02451)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244555647View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Occupational Therapist In Private PracticeMA
Qualified Speech Language PathologistMA
-MA
-MA
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Can I cross-check ALEXANDRA TEDESCO using NPI 1306416771?
NPI 1306416771 belongs to ALEXANDRA TEDESCO; compare other details if you need extra assurance.
Is there an active status for ALEXANDRA TEDESCO?
For scheduling context, ALEXANDRA TEDESCO is shown as active in the registry.
How would a patient describe ALEXANDRA TEDESCO's focus?
For ALEXANDRA TEDESCO, the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALEXANDRA TEDESCO?
Travel planning: use Waltham, Massachusetts as the reference point for ALEXANDRA TEDESCO, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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