Anisha Antony, OT
Individual provider Active NPI Occupational Therapist · Salt Lake City, UT
NPI 1265709117 · NPPES record last updated May 13, 2013
Key facts
- NPI
- 1265709117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT60248702 (WA)
- Practice address
- 1952 E 7000 S
Salt Lake City, UT 84121-6877 - Phone
- (801) 859-9211
- Fax
- (801) 495-5303
- NPI assigned
- Nov 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fun Zone Kids Therapy | Current | Accepting new patients |
Locations
6489 Camden Ave
Ste 106
San Jose, CA 95120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60248702 | WA | Yes |
Addresses
Primary practice location
1952 E 7000 S
Salt Lake City, UT 84121-6877
Mailing address
PO Box 711185
Salt Lake City, UT 84171-1185
Phone (800) 574-4792
Other providers in Salt Lake City, UT
- Meghan Anthony
- James Antinori
- Loupel Superficial Antiquiera
- Margaret Antiquiera
- Marja E Anton
- Michelle Anumba
- Shumaila Anwer
- Walter R Anyan
- Yoshimi Anzai
- Nicholas Alexander Anzalone
All providers in Salt Lake City, UT · Occupational Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.