Individual provider Active NPI

Aanise Harrison, OTR/L

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1194319285
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008180 Issued in GA
Practice address
1323 Spalding Forest CT
Atlanta, GA 30328-5714
Phone
(510) 467-3656
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 124641 TX
Occupational Therapist 225X00000X 22099 CA
Occupational Therapist 225X00000X OT008180 GA Primary

Addresses

Primary practice location

1323 Spalding Forest CT
Atlanta, GA 30328-5714

Mailing address

207 Monterey Rd Apt 5
Pacifica, CA 94044-1373
Phone (510) 467-3656

Other practice location 1

6595 Roswell Rd # G2501
Atlanta, GA 30328-3152
Phone (510) 467-3656

Other practice location 2

1100 Peachtree St NE Ste 900
Atlanta, GA 30309-4516
Phone (404) 445-3048

Other practice location 3

523 Hayes Ln
Petaluma, CA 94952-4011
Phone (707) 763-2457

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

LicenseStateTypeSpecialty
OT008180GAMDOccupational Therapist
124641TXMDOccupational Therapist
22099CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All for You Therapy Solutions Occupational Therapist Current 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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1194319285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MONTEREY RD APT 5",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441373",
            "telephone_number": "510-467-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 SPALDING FOREST CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285714",
            "telephone_number": "510-467-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6595 Roswell Rd # G2501",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303283152",
            "country_code": "US",
            "telephone_number": "510-467-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Peachtree St NE Ste 900",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303094516",
            "country_code": "US",
            "telephone_number": "404-445-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Hayes Ln",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949524011",
            "country_code": "US",
            "telephone_number": "707-763-2457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "AANISE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124641",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22099",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.