Active NPI
Annette Andersen Close, MOT, OTR/L
- Occupational Therapist
National Provider Identifier
1255417333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6014
- Practice address
- Landstuhl Regional Medical Center
CMR 402, APO AE 09180
DE - Phone
- 496371868383
- NPI assigned
- Oct 31, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6014 | NC | Primary |
Addresses
Primary practice location
Landstuhl Regional Medical Center
CMR 402, APO AE 09180
DE
Mailing address
Landstuhl Regional Medical Center
CMR 402, APO AE 09180
DE
Phone 496371868383
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 |
|---|---|---|---|
| 6014 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Broomfield, CO
- NPI 1841347598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255417333",
"addresses": [
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
"city": "CMR 402",
"state": "APO AE",
"postal_code": "09180",
"telephone_number": "496371868383"
},
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
"city": "CMR 402",
"state": "APO AE",
"postal_code": "09180",
"telephone_number": "496371868383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "ANNETTE",
"middle_name": "ANDERSEN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.