Individual provider Active NPI

Anandi Courtney Anderson, OT, LMT

  • Occupational Therapist
  • Essex, NY
National Provider Identifier
1427460021
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010698 Issued in NY
Practice address
2885 Essex Rd
Essex, NY 12936-2317
Phone
(518) 528-9958
NPI assigned
May 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 018647 NY
Occupational Therapist 225X00000X 010698 NY Primary
Occupational Therapist 225X00000X 072.0091394 VT

Addresses

Primary practice location

2885 Essex Rd
Essex, NY 12936-2317

Mailing address

PO Box 23
Willsboro, NY 12996-0023
Phone (518) 528-9958

Other names 1

  • Courtney Anderson Earl Former name

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
072.0091394VTMDOccupational Therapist
010698NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1427460021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129960023",
            "telephone_number": "518-528-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 ESSEX RD",
            "city": "ESSEX",
            "state": "NY",
            "postal_code": "129362317",
            "telephone_number": "518-528-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANANDI",
        "middle_name": "COURTNEY",
        "credential": "OT, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018647",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010698",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0091394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "EARL",
            "middle_name": "ANDERSON",
            "credential": "OT, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Essex, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.