Active NPI
Vanessa Anderson, COTA
- Occupational Therapy Assistant
- Duncanville, TX
National Provider Identifier
1316411754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 215289
- Practice address
- 710 S Cedar Ridge Dr
Duncanville, TX 75137-2204 - Phone
- (972) 708-2000
- NPI assigned
- Jan 18, 2019
- 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 Therapy Assistant | 224Z00000X | 215289 | TX | Primary |
Addresses
Primary practice location
710 S Cedar Ridge Dr
Duncanville, TX 75137-2204
Mailing address
12225 Greenville Ave Ste 600
Dallas, TX 75243-9362
Phone (866) 575-9820
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215289 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1316411754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12225 GREENVILLE AVE STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752439362",
"telephone_number": "866-575-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S CEDAR RIDGE DR",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751372204",
"telephone_number": "972-708-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "VANESSA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "215289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.