Individual ProviderAlexis HermesOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024(414) 453-7418PECOS EnrollmentBased on the most recent information from CMS, provider Alexis Hermes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942740576Provider TypeIndividualFull NameHermes, AlexisTitleMs.CredentialOTRGenderFemaleSole ProprietorNoEnumeration Date3/1/2017Last Updated3/1/2017Contact InformationPractice LocationPractice Address525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024Phone(414) 453-7418Fax(414) 967-1151Mailing LocationMailing Address525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024Phone(414) 453-7418Fax(414) 967-1151Provider TaxonomiesCodeDescriptionLicenseCode225XH1200XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6041-26WisconsinProvider IdentifiersIDDescriptionIssuerID6041-26DescriptionOtherIssuerWISCONSIN LICENSEWisconsin