Active NPI
Anne Pavelka, OTR/L
- Occupational Therapist
- Essex, MD
National Provider Identifier
1013433721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06546
- Practice address
- 1 Eastern Blvd
Essex, MD 21221-7016 - Phone
- (410) 574-1400
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 06546 | MD | Primary |
Addresses
Primary practice location
1 Eastern Blvd
Essex, MD 21221-7016
Mailing address
1 Eastern Blvd
Essex, MD 21221-7016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06546 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1013433721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EASTERN BLVD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212217016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EASTERN BLVD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212217016",
"telephone_number": "410-574-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVELKA",
"first_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.