Active NPI
Anna G. Wardsworth, OTR
- Occupational Therapist
- Alexandria, LA
National Provider Identifier
1912916164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z10937
- Practice address
- 409 19TH St
Alexandria, LA 71301-6753 - Phone
- (318) 473-2917
- Fax
- (318) 473-4002
- NPI assigned
- Aug 5, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Z10937 | LA | Primary |
Addresses
Primary practice location
409 19TH St
Alexandria, LA 71301-6753
Mailing address
409 19TH St
Alexandria, LA 71301-6753
Phone (318) 473-2917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z10937 | Other | LA | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| Z10937 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912916164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 19TH ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713016753",
"telephone_number": "318-473-2917",
"fax_number": "318-473-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 19TH ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713016753",
"telephone_number": "318-473-2917",
"fax_number": "318-473-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDSWORTH",
"first_name": "ANNA",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z10937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "Z10937",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.