Anna Serey, OTR/L
Individual provider Active NPI Occupational Therapist · Peridot, AZ
NPI 1376360982 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1376360982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 293016 (KY)
- Practice address
- 103 Medicine Way Rd
Peridot, AZ 85542-5000 - Phone
- (928) 475-1400
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241024002300 | TX | Practitioner - Occupational Therapist in Private Practice | 2860925138 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current |
Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current |
Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 293016 | KY | Yes |
Addresses
Primary practice location
103 Medicine Way Rd
Peridot, AZ 85542-5000
Mailing address
PO Box 675
Peridot, AZ 85542-0675
Phone (502) 523-8874
Other providers in Peridot, AZ
- San Carlos Apache Healthcare Corporation
- San Carlos Apache Healthcare Corporation
- San Carlos Apache Healthcare Corporation
- San Carlos Apache Healthcare Corporation
- Tamara Scott
- Rachel Ann Shorthouse
- Gary Simmons
- Jeffrey Standage
- Brenda Stevens
- Dorothea Blanche Stevens
All providers in Peridot, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.