Active NPI
Deirdre Bunn, OTR
- Occupational Therapist
- Anchorage, AK
National Provider Identifier
1497056576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2072
- Practice address
- 4100 Lake Otis Pkwy
Ste. 308
Anchorage, AK 99508-5229 - Phone
- (907) 563-8318
- Fax
- (907) 563-3472
- NPI assigned
- Nov 5, 2010
- 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 | 2072 | AK | Primary |
Addresses
Primary practice location
4100 Lake Otis Pkwy
Ste. 308
Anchorage, AK 99508-5229
Mailing address
4100 Lake Otis Pkwy
Ste. 308
Anchorage, AK 99508-5229
Phone (907) 563-8318
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2072 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Hand Rehabilitation, Inc. | Occupational Therapist | 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Anchorage, AK
- NPI 1881730653
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288915200000",
"number": "1497056576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"address_2": "STE. 308",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085229",
"telephone_number": "907-563-8318",
"fax_number": "907-563-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"address_2": "STE. 308",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085229",
"telephone_number": "907-563-8318",
"fax_number": "907-563-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNN",
"first_name": "DEIRDRE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-05",
"last_updated": "2010-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "2072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.