Anahid Keshishian, OTR/L
Individual provider Active NPI Occupational Therapist · Fairview, NJ
NPI 1093420168 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1093420168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR01082100 (NJ)
- Practice address
- 409 Sheridan PL
Fairview, NJ 07022-1905 - Phone
- (201) 400-7571
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01082100 | NJ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01082100 | NJ | Yes |
Addresses
Primary practice location
409 Sheridan PL
Fairview, NJ 07022-1905
Mailing address
409 Sheridan PL
Fairview, NJ 07022-1905
Phone (201) 400-7571
Other providers in Fairview, NJ
- Estela Hernandez
- Holistics Life LLC
- Kevin G Iglesias
- Valerie Iovino
- Mustapha Kaddour
- Brian Edward Kiczek
- Young Sun Kim
- Alina Laroche
- Luis Ledo Suarez
- Raymond M. Maimone
All providers in Fairview, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.