Individual provider Active NPI

Samantha Elizabeth Anchor, OT

  • Occupational Therapist
  • Hephzibah, GA
National Provider Identifier
1356851174
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006843 Issued in GA
Practice address
2485 Highway 88
Hephzibah, GA 30815-4691
Phone
(706) 592-5565
Fax
(706) 751-0825
NPI assigned
Oct 6, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 OT006843 GA Primary

Addresses

Primary practice location

2485 Highway 88
Hephzibah, GA 30815-4691

Mailing address

PO Box 537
Hephzibah, GA 30815-0537
Phone (706) 592-5565

Other practice location 1

727 W 6th St
Waynesboro, GA 30830-4407
Phone (706) 592-5565

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

LicenseStateTypeSpecialty
OT006843GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Csra Therapy Services 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356851174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308150537",
            "telephone_number": "706-592-5565",
            "fax_number": "706-751-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGHWAY 88",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308154691",
            "telephone_number": "706-592-5565",
            "fax_number": "706-751-0825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308304407",
            "country_code": "US",
            "telephone_number": "706-592-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANCHOR",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hephzibah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.