Active NPI
Anne Zachry
- Occupational Therapist
- Memphis, TN
National Provider Identifier
1376964494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 648
- Practice address
- 930 Madison Ave
Suite Ec013
Memphis, TN 38163-2243 - Phone
- (901) 448-6438
- Fax
- (901) 448-1411
- NPI assigned
- Dec 16, 2013
- 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 | 648 | TN | Primary |
Addresses
Primary practice location
930 Madison Ave
Suite Ec013
Memphis, TN 38163-2243
Mailing address
930 Madison Ave
Suite Ec013
Memphis, TN 38163-2243
Phone (901) 448-6438
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446645 | Medicaid | TN | |
| 3133295 | Other | TN | BCBS |
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 |
|---|---|---|---|
| 648 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Tennessee | Past | Accepting new patients | |
| University of Tennessee | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1174221337
-
- Physical Therapist
- Memphis, TN
- NPI 1386735298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1376964494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 MADISON AVE",
"address_2": "SUITE EC013",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381632243",
"telephone_number": "901-448-6438",
"fax_number": "901-448-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MADISON AVE",
"address_2": "SUITE EC013",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381632243",
"telephone_number": "901-448-6438",
"fax_number": "901-448-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHRY",
"first_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446645",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3133295",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.