Active NPI
Anthony Nello Giannini, RBT
- Occupational Therapy Assistant
- Highland, IN
National Provider Identifier
1033753140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057005481
- Practice address
- 2906 Highway Ave
Highland, IN 46322-1631 - Phone
- (219) 513-8311
- Fax
- (708) 479-2112
- NPI assigned
- Oct 31, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-103388 | IN | |
| Occupational Therapy Assistant | 224Z00000X | 057005481 | IL | Primary |
Addresses
Primary practice location
2906 Highway Ave
Highland, IN 46322-1631
Mailing address
7258 Forest Ave
Hammond, IN 46324-1842
Phone (219) 614-9553
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 |
|---|---|---|---|
| RBT-19-103388 | IN | MD | Behavior Technician |
| 057005481 | IL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Therapy | Multi-Specialty | 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": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1033753140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7258 FOREST AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463241842",
"telephone_number": "219-614-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 HIGHWAY AVE",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221631",
"telephone_number": "219-513-8311",
"fax_number": "708-479-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANNINI",
"first_name": "ANTHONY",
"middle_name": "NELLO",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-31",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-19-103388",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057005481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.