Active NPI
Anna Layne Galvin, OTR
- Occupational Therapist
- Birmingham, AL
National Provider Identifier
1053019786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6079
- Practice address
- 4778 Overton Rd
Birmingham, AL 35210-3803 - Phone
- (205) 957-0294
- Fax
- (205) 957-0298
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 6079 | AL | Primary |
Addresses
Primary practice location
4778 Overton Rd
Birmingham, AL 35210-3803
Mailing address
1025 Inverness Cove Way
Hoover, AL 35242-4216
Phone (256) 872-0288
Other practice location 1
2305 Arlington Ave S
Birmingham, AL 35205-4111
Phone (205) 957-2242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6079 | Other | AL | OTR LICENSE |
Other names 1
- Anna Layne Wood
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 |
|---|---|---|---|
| 6079 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell'S Place, Inc. | Occupational Therapist | 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": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1053019786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 INVERNESS COVE WAY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352424216",
"telephone_number": "256-872-0288",
"fax_number": "205-957-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4778 OVERTON RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352103803",
"telephone_number": "205-957-0294",
"fax_number": "205-957-0298"
}
],
"practiceLocations": [
{
"address_1": "2305 Arlington Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352054111",
"country_code": "US",
"telephone_number": "205-957-2242",
"fax_number": "659-241-3055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVIN",
"first_name": "ANNA",
"middle_name": "LAYNE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "6079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTR LICENSE",
"identifier": "6079",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "WOOD",
"middle_name": "LAYNE",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.