Anita Loraine Nesland, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Junior, WV
NPI 1114967650 · NPPES record last updated Sep 30, 2008
Key facts
- NPI
- 1114967650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 430 (WV)
- Practice address
- 205 2ND St.
Junior, WV 26275-0344 - Phone
- (304) 823-1505
- Fax
- (304) 823-1505
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060705000314 | WV | Practitioner - Occupational Therapist in Private Practice | 1254343544 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expectations Therapy Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 430 | WV | Yes |
Addresses
Primary practice location
205 2ND St.
Junior, WV 26275-0344
Mailing address
PO Box 344
205 2ND St.
Junior, WV 26275-0344
Phone (304) 823-1505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7503054-000 | Medicaid | WV |
Other providers in Junior, WV
- Amanda Beohm
- Lesley Rae England
- Expectations Therapy Services, LLC
- Stephanie Gomez
- Mary Haderman
- Kimberly Ann Pharis
- Frank Snyder
- Patti Snyder
All providers in Junior, WV · Pediatric Occupational Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.