Active NPI
Anita Marie David, OT
- Occupational Therapist
- Fort Lauderdale, FL
National Provider Identifier
1891891297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 11518
- Practice address
- 1636 NW 5TH Ave
Fort Lauderdale, FL 33311-5508 - Phone
- (954) 865-3705
- Fax
- (954) 204-0014
- NPI assigned
- Sep 15, 2006
- 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 Therapist | 225X00000X | OT 11518 | FL | Primary |
| Developmental Therapist | 222Q00000X | 11518 | FL |
Addresses
Primary practice location
1636 NW 5TH Ave
Fort Lauderdale, FL 33311-5508
Mailing address
1636 NW 5TH Ave
Fort Lauderdale, FL 33311-5508
Phone (954) 865-3705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891985200 | Medicaid | FL | |
| 010042600 | Medicaid | FL |
Other names 1
- Ms. Anita Marie David
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11518 | FL | MD | Developmental Therapist |
| OT 11518 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Success for Kids LLC | Occupational Therapist | Past | Accepting new patients |
| A Place for You Adult Day Care and Rehab Center Corp. | Past | Accepting new patients | |
| Innovative Therapy Services Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Occupational Therapist
- Fort Lauderdale, FL
- NPI 1952790289
-
- Adult Day Care Clinic/Center
- Palm Springs, FL
- NPI 1184065559
-
- Physical Therapy Clinic/Center
- Delray Beach, FL
- NPI 1437174158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1891891297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 NW 5TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333115508",
"telephone_number": "954-865-3705",
"fax_number": "954-204-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 NW 5TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333115508",
"telephone_number": "954-865-3705",
"fax_number": "954-204-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "ANITA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 11518",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "11518",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891985200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010042600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "DAVID",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.