Individual provider Active NPI

Anne Liese Saljian, OTR/L, CHT

  • Occupational Therapist
  • Modesto, CA
National Provider Identifier
1205270394
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT296 Issued in CA
Practice address
3500 Coffee Rd
Suite 3
Modesto, CA 95355-1305
Phone
(209) 549-4626
Fax
(209) 549-4625
NPI assigned
Apr 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT296 CA Primary

Addresses

Primary practice location

3500 Coffee Rd
Suite 3
Modesto, CA 95355-1305

Mailing address

3500 Coffee Rd
Suite 3
Modesto, CA 95355-1305
Phone (209) 549-4626

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andersen Physical Therapy, Inc Occupational Therapist Past Accepting new patients
Andersen Physical Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1205270394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 COFFEE RD",
            "address_2": "SUITE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551305",
            "telephone_number": "209-549-4626",
            "fax_number": "209-549-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COFFEE RD",
            "address_2": "SUITE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551305",
            "telephone_number": "209-549-4626",
            "fax_number": "209-549-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALJIAN",
        "first_name": "ANNE",
        "middle_name": "LIESE",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.