Individual provider Active NPI

Anita Marie David, OT

  • Occupational Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1891891297
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 11518 Issued in FL
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

Updated by the provider on Sep 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
891985200MedicaidFL
010042600MedicaidFL

Other names 1

  • Ms. Anita Marie David Former name

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

LicenseStateTypeSpecialty
11518FLMDDevelopmental Therapist
OT 11518FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Success for Kids LLC Occupational Therapist Past Accepting new patients
A Place for You Adult Day Care and Rehab Center Corp. PastSince Aug 1, 2019 Accepting new patients
Innovative Therapy Services Inc PastSince Apr 14, 2005 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.

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.

Verify at the official NPI Registry.