Jade Morgan Anacker, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

17536 Issued in FL

Practice address

12966 SW 89TH Ave
Miami, FL 33176-5850

Phone

(786) 554-8920

NPI assigned

Jul 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Beyond Therapy Behavioral

  • Behavior Analyst
  • Miami, FL
  • NPI 1295328995
  NPD
• Beyond Therapy Team LLC

  • Developmental Therapist
  • Miami, FL
  • NPI 1386277119
  NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1730814724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 SW 29TH PL",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301003",
            "telephone_number": "954-661-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 SW 89TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765850",
            "telephone_number": "786-554-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANACKER",
        "first_name": "JADE",
        "middle_name": "MORGAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavinia Ioana Ana
• Ana'S Elderly Care, Inc.
• Ana'S Family Home Alf, Inc.
• Anabel Paya DMD PA
• Sarkis Anac, M.D.
• Anaga Psychotherapy Center
• Apostolos Anagnostopoulos, MD
• Anaid Dental LLC
• Anais Alf LLC
• Anaisa Health Services

• Occupational Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.