Individual provider Active NPI

Anna June Schug, OTR/L

  • Occupational Therapist
  • St Petersburg, FL
National Provider Identifier
1558878561
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12994 Issued in FL
Practice address
505 16TH Ave NE
St Petersburg, FL 33704-4716
Phone
(254) 681-7867
NPI assigned
Dec 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 12994 FL Primary

Addresses

Primary practice location

505 16TH Ave NE
St Petersburg, FL 33704-4716

Mailing address

505 16TH Ave NE
St Petersburg, FL 33704-4716
Phone (254) 681-7867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221219001156 MO Practitioner - Occupational Therapist in Private Practice 5799154597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12994FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Direct CurrentSince Jan 17, 2023 Accepting new patients
Imove Telept, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1558878561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 16TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044716",
            "telephone_number": "254-681-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 16TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044716",
            "telephone_number": "254-681-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUG",
        "first_name": "ANNA JUNE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "12994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.