Active NPI
Annamae Walker, M.S. OTR/L
- Pediatric Occupational Therapist
- Mechanicsburg, PA
National Provider Identifier
1013750116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC18148
- Practice address
- 2104 Aspen Dr
Mechanicsburg, PA 17055-5507 - Phone
- (717) 506-5668
- NPI assigned
- Jun 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | OC18148 | PA | |
| Pediatric Occupational Therapist | 225XP0200X | OC18148 | PA | Primary |
Addresses
Primary practice location
2104 Aspen Dr
Mechanicsburg, PA 17055-5507
Mailing address
406 E Marble St
Mechanicsburg, PA 17055-4265
Phone (717) 514-7559
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC18148 | PA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing in Motion | Feeding, Eating & Swallowing | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1013750116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 E MARBLE ST",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554265",
"telephone_number": "717-514-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 ASPEN DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170555507",
"telephone_number": "717-506-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ANNAMAE",
"credential": "M.S. OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "PA",
"license": "OC18148",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PA",
"license": "OC18148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.