Active NPI
Aanise Harrison, OTR/L
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1194319285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008180
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT008180 | GA | MD | Occupational Therapist |
| 124641 | TX | MD | Occupational Therapist |
| 22099 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Occupational Therapist
- Atlanta, GA
- NPI 1508598939
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.