Active NPI
Anne Breitwieser, OTR/L
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1891171633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9896
- Practice address
- 1215 Navajo Trail West Dr
Indianapolis, IN 46260-3560 - Phone
- (816) 679-8046
- NPI assigned
- Aug 4, 2015
- Last updated
- Aug 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9896 | NC | Primary |
Addresses
Primary practice location
1215 Navajo Trail West Dr
Indianapolis, IN 46260-3560
Mailing address
1215 Navajo Trail West Dr
Indianapolis, IN 46260-3560
Phone (816) 679-8046
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 |
|---|---|---|---|
| 9896 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1891171633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 NAVAJO TRAIL WEST DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462603560",
"telephone_number": "816-679-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 NAVAJO TRAIL WEST DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462603560",
"telephone_number": "816-679-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITWIESER",
"first_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.