Individual provider Active NPI

Annah M King, OTR/L, CHT

  • Specialist
  • Dallas, TX
National Provider Identifier
1225028988
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
106824 Issued in TX
Practice address
3600 Gaston Ave
Suite 450
Dallas, TX 75246-1800
Phone
(214) 823-5351
Fax
(214) 823-2060
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 106824 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Suite 450
Dallas, TX 75246-1800

Mailing address

3600 Gaston Ave
Suite 450
Dallas, TX 75246-1800
Phone (214) 823-5351

Other identifiers 1

IdentifierTypeStateIssuer
106824OtherTXSTATE LICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111002327 TX Practitioner - Occupational Therapist in Private Practice 7113229998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Lankford Hand Surgery AssociationGroup PAC ID 2163582420, 3 clinicians

Practice addresses (Care Compare)

8220 Walnut Hill LN
BLDG 2 Suite 514
Dallas, TX 75231-4433
Phone (214) 823-5351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lankford Hand Surgery Association Specialist CurrentSince Nov 1, 2011 Accepting new patients
NPI 1861410300 Past Accepting new patients

Locations

3600 Gaston Ave
Ste 450
Dallas, TX 75246
Phone (214) 823-5351

8220 Walnut Hill Ln
Ste 514
Dallas, TX 75231
Phone (214) 345-4595

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1225028988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-823-5351",
            "fax_number": "214-823-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-823-5351",
            "fax_number": "214-823-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANNAH",
        "middle_name": "M",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "106824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE#",
            "identifier": "106824",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.