Active NPI
Anita Rachael Dallman, COTA
- Occupational Therapy Assistant
- Visalia, CA
National Provider Identifier
1831313519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1945
- Practice address
- 1046 S Tracy St
Visalia, CA 93292-1588 - Phone
- (559) 802-3024
- NPI assigned
- Apr 12, 2007
- Last updated
- Jun 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2005009934 | MO | |
| Occupational Therapy Assistant | 224Z00000X | 1945 | CA | Primary |
Addresses
Primary practice location
1046 S Tracy St
Visalia, CA 93292-1588
Mailing address
1046 S Tracy St
Visalia, CA 93292-1588
Phone (559) 802-3024
Other names 1
- Anita Rachael Beaman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005009934 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1831313519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 S TRACY ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932921588",
"telephone_number": "559-802-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 S TRACY ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932921588",
"telephone_number": "559-802-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLMAN",
"first_name": "ANITA",
"middle_name": "RACHAEL",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2005009934",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "1945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "BEAMAN",
"middle_name": "RACHAEL",
"credential": "COTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.