Marcia Elizabeth Anderson, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Pinnacle, NC
NPI 1144525486 · NPPES record last updated Jan 18, 2011
Key facts
- NPI
- 1144525486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5101 (NC)
- Practice address
- 1144 Paces Place Rd
Pinnacle, NC 27043-8373 - Phone
- (336) 817-1893
- Fax
- (336) 325-2335
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 5101 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay of North Carolina, PC | Occupational Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5101 | NC | Yes |
Addresses
Primary practice location
1144 Paces Place Rd
Pinnacle, NC 27043-8373
Mailing address
8750 Crestbrook Rd
Rural Hall, NC 27045-9707
Phone (336) 642-4452
Other providers in Pinnacle, NC
All providers in Pinnacle, NC · Occupational Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2011. 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.