ALEXIS TATTER – Occupational Therapist, NPI 1386119303

ALEXIS TATTER is a healthcare provider. based in Warba, Minnesota. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 086494 (IA). The NPI Number for ALEXIS TATTER is 1386119303

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS TATTER
NPI
1386119303
Phone
(218) 256-9477
Address
19766 SAGO 3
Enumeration Date
5 October 2018
Last Update Date
5 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077264663
Graduation Year
2016 (10 years ago)
PAC ID
5890238356
Group Practice PAC ID
8022426162
Professional Enrollment ID
I20240625002221
Address ID
AK99567XXXXCHXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:7State licenses:5Digital endpointsOther names

334 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for ALEXIS TATTER

  • 19766 SAGO 3

    WARBA, MN 557931610

    Phone: (218) 256-9477

    Type: Mailing

  • 2407, Kentucky Street, Elmwood, Louisiana, Pike County, Missouri, 63353, United States

    LOUISIANA, MO 633532503

    Phone: (573) 754-5456

    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: 2024-06-25

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
I20240625002221IOccupational Therapist In Private PracticeAKTBD

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 55793)

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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: 8022426162View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALEXIS TATTER?
ALEXIS TATTER — NPI 1386119303 — is the standard way to identify this listing.
Is ALEXIS TATTER still practicing?
ALEXIS TATTER is currently listed as active in the public NPI registry.
What taxonomy line describes ALEXIS TATTER?
For research purposes, treat ALEXIS TATTER as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ALEXIS TATTER on a map?
Expect Warba, Minnesota as a primary anchor for ALEXIS TATTER unless the record lists multiple sites.
Why does ALEXIS TATTER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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