Anna Michele Teale, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2002008233 Issued in MO

Practice address

810 Arrowhead Cir
Maryville, MO 64468-8500

Phone

(660) 853-8647

NPI assigned

Jan 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services OT Mo LLC

  • Occupational Therapist
  • Saint Charles, MO
  • NPI 1386269363
  Medicare reassignment NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1619366820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ARROWHEAD CIR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644688500",
            "telephone_number": "660-853-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ARROWHEAD CIR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644688500",
            "telephone_number": "660-853-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEALE",
        "first_name": "ANNA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01790",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2002008233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Stumpff, R.PH.
• Sudarsan Chavala
• John T Symonds, DO
• Christina Tapps, MS, ATC, LAT
• Mark James Taylor
• The Wellness Tripp
• Mary Ellen Theodore, LPC
• Kenneth T. Thom, LPC
• Kyle B Thomas
• Athena R Thompson

• Occupational Therapist in Maryville, MO
• Providers in Maryville, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.