MRS. ALEXIS MARIE WAUN (OTRL) – Occupational Therapist, NPI 1760185466

MRS. ALEXIS MARIE WAUN (OTRL) is a healthcare provider. based in Bad axe, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTRL. They hold a License No. 5201013270 (MI). The NPI Number for MRS. ALEXIS MARIE WAUN (OTRL) is 1760185466

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALEXIS MARIE WAUN (OTRL)
NPI
1760185466
Phone
(989) 479-9255
Address
1100 S VAN DYKE RD
Enumeration Date
23 March 2023
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
SAGINAW VALLEY MEDICAL COLLEGE - NLG
Secondary Phone
9892692700
Graduation Year
2022 (4 years ago)
PAC ID
1759739972
Group Practice PAC ID
2163571670
Professional Enrollment ID
I20231129001437
Address ID
MI484131177BA128XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MRS. ALEXIS MARIE WAUN (OTRL)

  • 1100 S VAN DYKE RD

    BAD AXE, MI 484139615

    Phone: (989) 479-9255

    Type: Mailing

  • 1100 S. VAN DYKE RD.

    BAD AXE, MI 48413

    Phone: (989) 269-1540

    Type: Location

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: 2023-11-29

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
I20231129001437IOccupational Therapist In Private PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48413)

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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: 2163571670View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. ALEXIS MARIE WAUN (OTRL)'s NPI?
Yes. MRS. ALEXIS MARIE WAUN (OTRL) is listed with NPI 1760185466 in the public NPI dataset.
Can I rely on MRS. ALEXIS MARIE WAUN (OTRL) being an active provider?
As of the registry snapshot, MRS. ALEXIS MARIE WAUN (OTRL) is marked active.
What taxonomy line describes MRS. ALEXIS MARIE WAUN (OTRL)?
For research purposes, treat MRS. ALEXIS MARIE WAUN (OTRL) as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. ALEXIS MARIE WAUN (OTRL)?
MRS. ALEXIS MARIE WAUN (OTRL)'s geographic hint is Bad Axe, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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