Individual provider Active NPI

Anne Maija Beckett-Fedarko, OTR/L

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1568901965
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC014682 Issued in PA
Practice address
5606 Ridge Ave
Apt 2F
Philadelphia, PA 19128-2735
Phone
(410) 227-5537
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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 OC014682 PA Primary

Addresses

Primary practice location

5606 Ridge Ave
Apt 2F
Philadelphia, PA 19128-2735

Mailing address

5606 Ridge Ave
Apt 2F
Philadelphia, PA 19128-2735
Phone (410) 227-5537

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

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1568901965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 RIDGE AVE",
            "address_2": "APT 2F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282735",
            "telephone_number": "410-227-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 RIDGE AVE",
            "address_2": "APT 2F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282735",
            "telephone_number": "410-227-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT-FEDARKO",
        "first_name": "ANNE",
        "middle_name": "MAIJA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.