2026 NPPES data Hand Occupational Therapist NPI 1275874125 OTR
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ALEXANDRA FACKRELL, OTR

Hand Occupational Therapist in VIRGINIA BEACH, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
91.9957/100
▲ 9 pts above national avg 83.1 · [object Object]
What the federal data reveals: ALEXANDRA FACKRELL, OTR is a Hand Occupational Therapist ([object Object]) practicing in VIRGINIA BEACH, Virginia . Their CMS MIPS Final Score of 91.9957/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ALEXANDRA FACKRELL, OTR reported a CMS MIPS final score of 91.9957 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ALEXANDRA FACKRELL, OTR at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/01/2013

NPI 1275874125

Primary specialty

Hand Occupational Therapist

Niche

2,871 US NPIs in this specialty

MIPS final score

91.9957/100 8.895700000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Hand Occupational Therapist compares to other specialties among Virginia providers

Virginia providers

Hand Occupational Therapist share within Virginia

1. Hand Occupational Therapist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hand Occupational Therapist share within Virginia

Medicare quality performance — MIPS

ALEXANDRA FACKRELL, OTR's 2023 MIPS final score plotted against the Hand Occupational Therapist national average

High performer (top quartile)
MIPS Final Score
91.9957/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hand Occupational Therapist) — 91.9957/100 vs national avg 83.1

0%100%National avg83%92%
MIPS final score (Hand Occupational Therapist) — 91.9957/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ALEXANDRA FACKRELL, OTR is a Hand Occupational Therapist provider practicing in VIRGINIA BEACH, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OTR. NPI: 1275874125. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALEXANDRA FACKRELL, OTR appears in the CMS NPPES registry as a Hand Occupational Therapist provider holding OTR credentials at 1975 GLENN MITCHELL DR, VIRGINIA BEACH, VA, 23456, with a listed phone of (757) 368-3284. NPI 1275874125 was issued on 03/01/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FACKRELL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Hand Occupational Therapist providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.9957/100 for the 2023 performance year, compared with the national average of 83.1.

Hand Occupational Therapist is a narrow specialty nationwide, with 2,871 enrolled providers across 52 states and an average of 1,591 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1975 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456

Provider Details

NPI 1275874125
Specialty Hand Occupational Therapist
Credentials OTR
Gender Female
NPI Issued 03/01/2013

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.9957
Final Score
Avg: 83.1
83.9914
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALEXANDRA FACKRELL, OTR bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC
VIRGINIA BEACH, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Hand Occupational Therapist Overview

How ALEXANDRA FACKRELL, OTR fits within the Hand Occupational Therapist landscape nationally.

2,871
Hand Occupational Therapist Providers in US
52
States with Hand Occupational Therapist
1,591
Avg Claims per Provider

Nearby Hand Occupational Therapist Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as FACKRELL.

Compare Hand Occupational Therapist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALEXANDRA FACKRELL, OTR's specialty?
ALEXANDRA FACKRELL, OTR specializes in Hand Occupational Therapist and practices in VIRGINIA BEACH, Virginia. Credentials: OTR.
What is ALEXANDRA FACKRELL, OTR's Medicare quality score?
ALEXANDRA FACKRELL, OTR has a CMS MIPS Final Score of 91.9957/100, Cost: 83.9914. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALEXANDRA FACKRELL, OTR located?
ALEXANDRA FACKRELL, OTR is located at 1975 GLENN MITCHELL DR, VIRGINIA BEACH, VA, 23456. Phone: (757) 368-3284.
What is ALEXANDRA FACKRELL, OTR's NPI number?
ALEXANDRA FACKRELL, OTR's National Provider Identifier (NPI) is 1275874125, issued on 03/01/2013.
How many Hand Occupational Therapist providers are there in the US?
There are 2,871 Hand Occupational Therapist providers across 52 states in the US. The average Hand Occupational Therapist provider writes 1,591 Medicare Part D claims per year.
Does ALEXANDRA FACKRELL, OTR accept Medicare?
ALEXANDRA FACKRELL, OTR appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALEXANDRA FACKRELL, OTR's credentials?
ALEXANDRA FACKRELL, OTR's NPI is 1275874125 with credentials OTR. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology