Individual provider Active NPI

Anna Ross

  • Hand Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1699555219
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OC019516 Issued in PA
Practice address
834 Chestnut St Ste G114
Philadelphia, PA 19107-5114
Phone
(215) 521-3000
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC019516 PA
Occupational Therapist 225X00000X PA
Hand Occupational Therapist 225XH1200X OC019516 PA Primary

Addresses

Primary practice location

834 Chestnut St Ste G114
Philadelphia, PA 19107-5114

Mailing address

PO Box 34990
Belfast, ME 04915-0627

Other practice location 1

1101 Ludlow St Apt 520
Philadelphia, PA 19107-4257
Phone (315) 877-2205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000584 PA Practitioner - Occupational Therapist in Private Practice 5395289052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

834 Chestnut St
Suite G114
Philadelphia, PA 19107-5114
Phone (215) 521-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC019516PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Jun 24, 2024 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Occupational Therapist CurrentSince Jun 24, 2024 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

834 Chestnut St
Ste G114
Philadelphia, PA 19107
Phone (215) 521-3000

1 Crescent Dr
Ste 100
Philadelphia, PA 19112
Phone (215) 521-3023

Organizations & group practices 3

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1699555219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34990",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 CHESTNUT ST STE G114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075114",
            "telephone_number": "215-521-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ludlow St Apt 520",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074257",
            "country_code": "US",
            "telephone_number": "315-877-2205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019516",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC019516",
            "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 Jun 26, 2024; 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.