Anisa Chun Kong, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

888 Issued in NC

Practice address

2230 E Franklin Blvd Ste 100
Gastonia, NC 28054-4983

Phone

(704) 830-6168

Fax

(704) 853-1809

NPI assigned

Jul 22, 2008

Last updated

Nov 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1508021270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 E FRANKLIN BLVD STE 100",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544983",
            "telephone_number": "704-830-6168",
            "fax_number": "704-853-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 E FRANKLIN BLVD STE 100",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544983",
            "telephone_number": "704-830-6168",
            "fax_number": "704-853-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "ANISA",
        "middle_name": "CHUN",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G56017",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Koenig, DNP, CRNA
• Sathyanarayana Naidu Koidala Veera Venkata
• Jennifer Kolb, MA, LPCA, NCC
• Lindsay Kolb, M.S. CCC-SLP
• Chrys B Kolodny, BSW
• Kara Konrad, LPC, NCC
• Lauren Koontz
• Elizabeth Aramide Korede, NP
• George Ayo Oluwa Korede, MD
• Jean Diane Kornett, PT

• Occupational Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.