Individual provider Active NPI

Anna Wan, MSOT, OTR/L, CSRS

  • Occupational Therapist
  • Chandler, AZ
National Provider Identifier
1699344515
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6678 Issued in AZ
Practice address
2195 W Chandler Blvd Ste 180
Chandler, AZ 85224-6580
Phone
(480) 963-9339
Fax
(480) 963-4098
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 6678 AZ Primary

Addresses

Primary practice location

2195 W Chandler Blvd Ste 180
Chandler, AZ 85224-6580

Mailing address

300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone (602) 279-6905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715004445 AZ Practitioner - Occupational Therapist in Private Practice 3476955261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

7400 N Dobson Rd
Suite 103
Scottsdale, AZ 85256-2769
Phone (602) 613-9133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6678AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DHT Hand Therapy Limited Partnership Occupational Therapist Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Oct 1, 2025 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Arizona Center for Hand Surgery PC CurrentSince Sep 26, 2024 Accepting new patients
Arizona Center for Hand Surgery PC CurrentSince Sep 26, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

3329 E Bell Rd
Ste A5
Phoenix, AZ 85032

1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

20851 E Rittenhouse Rd
Ste E103
Queen Creek, AZ 85142
Phone (480) 677-2800

7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133

Organizations & group practices 7

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1699344515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 W CHANDLER BLVD STE 180",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246580",
            "telephone_number": "480-963-9339",
            "fax_number": "480-963-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "ANNA",
        "credential": "MSOT, OTR/L, CSRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.