Individual provider Active NPI

Anna Lillian White, OTR/L

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1457758989
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114783 Issued in TX
Practice address
15911 Nacogdoches Rd BLDG 1
San Antonio, TX 78247-1107
Phone
(210) 599-7733
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 114783 TX Primary

Addresses

Primary practice location

15911 Nacogdoches Rd BLDG 1
San Antonio, TX 78247-1107

Mailing address

116 Newrock CRK
Schertz, TX 78154-3911
Phone (210) 367-8936

Other names 1

  • Ms. Anna Lillian Phelix 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
114783TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Autistic Treatment Center, Inc. CurrentSince May 26, 2024 Accepting new patients

Locations

15911 Nacogdoches Rd
Bldg 1
San Antonio, TX 78247
Phone (210) 590-2107

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1457758989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NEWROCK CRK",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543911",
            "telephone_number": "210-367-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15911 NACOGDOCHES RD BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471107",
            "telephone_number": "210-599-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANNA",
        "middle_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PHELIX",
            "middle_name": "LILLIAN",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.