Jeanne Anderson, OTR
Individual provider Active NPI Occupational Therapist · Homer, AK
NPI 1861799124 · NPPES record last updated Dec 27, 2018
Key facts
- NPI
- 1861799124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- PHYO2665 (AK)
- Practice address
- 59976 Tern CT
Homer, AK 99603-9434 - Phone
- (570) 977-1800
- NPI assigned
- Feb 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHYO2665 | AK | MD | Occupational Therapist |
| 46TR00541300 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-Bay Kids LLC | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | PHYO2665 | AK | Yes |
| Occupational Therapist | 225X00000X | 46TR00541300 | NJ |
Addresses
Primary practice location
59976 Tern CT
Homer, AK 99603-9434
Mailing address
59976 Tern CT
Homer, AK 99603-9434
Phone (570) 977-1800
Other practice location 1
3575 Quakerbridge Rd
Hamilton, NJ 08619-1205
Phone (609) 631-2800
Other providers in Homer, AK
- Memery B Alman
- Rene L Alvarez
- Anchorage Vamc
- Ann Feige Anderson
- Dennis Lloyd Anderson
- Anne C Adamson DDS LLC
- Arctic Chiropractic Homer
- Arctic Rehabilitation and Physical Therapy Homer
- Bernadette M Arsenault
- Kathryn Ault
All providers in Homer, AK · Occupational Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.