Individual provider Active NPI

Anjanette Pitcock, OT/L

  • Occupational Therapist
  • Thornville, OH
National Provider Identifier
1831200344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5041 Issued in OH
Practice address
8745 Blackbird LN
Thornville, OH 43076-9515
Phone
(740) 246-5483
Fax
(740) 246-6480
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5041 OH Primary

Addresses

Primary practice location

8745 Blackbird LN
Thornville, OH 43076-9515

Mailing address

11541 State Route 188
P.O. Box 82
Thornville, OH 43076-8942
Phone (740) 246-6073

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5041OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Terra Health, LLC PastSince Mar 1, 2006 Accepting new patients
Terra Health Inc. Past Accepting new patients

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831200344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11541 STATE ROUTE 188",
            "address_2": "P.O. BOX 82",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430768942",
            "telephone_number": "740-246-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 BLACKBIRD LN",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769515",
            "telephone_number": "740-246-5483",
            "fax_number": "740-246-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCOCK",
        "first_name": "ANJANETTE",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "5041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.