Active NPI
Anecia Dishel Allen, OTR/L
- Occupational Therapist
- Gaffney, SC
National Provider Identifier
1114303328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5145
- Practice address
- 101 Park CT
Gaffney, SC 29341-1275 - Phone
- (864) 362-5574
- Fax
- (864) 761-1213
- NPI assigned
- Aug 11, 2015
- Last updated
- Dec 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8313 | NC | |
| Occupational Therapist | 225X00000X | 9873 | NC | |
| Occupational Therapist | 225X00000X | 5145 | SC | Primary |
Addresses
Primary practice location
101 Park CT
Gaffney, SC 29341-1275
Mailing address
101 Park CT
Gaffney, SC 29341-1275
Phone (864) 362-5574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344257 | Medicaid | NC |
Other names 1
- Miss Anecia Dishel Allen
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9873 | NC | MD | Physical Therapist |
| 8313 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1114303328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PARK CT",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293411275",
"telephone_number": "864-362-5574",
"fax_number": "864-761-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK CT",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293411275",
"telephone_number": "864-362-5574",
"fax_number": "864-761-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ANECIA",
"middle_name": "DISHEL",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "8313",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9873",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "5145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344257",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANECIA",
"last_name": "ALLEN",
"middle_name": "DISHEL",
"prefix": "MISS",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Gaffney, SC
- Manzoor Ahmad, MD
- Airway Medical Supplies, Inc.
- Caprice Y. Alexander, COTA
- Alfred Randall Moss MD PA (Gaffney Family Physicians)
- Alfred Randall Moss MD PA (Gaffney Family Physicians)
- Michelle Duncan Allison, APRN, PMHNP-BC
- Ambu-Star, Inc.
- American Transmed, Inc
- Andrew P Harakas MD PA
- Angelic Services, Inc. (Angelic Home Care/Angelic Adult Day Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.