Individual provider Active NPI

Anna G. Wardsworth, OTR

  • Occupational Therapist
  • Alexandria, LA
National Provider Identifier
1912916164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z10937 Issued in LA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Z10937OtherLASTATE 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

LicenseStateTypeSpecialty
Z10937LAMDOccupational 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.

Verify at the official NPI Registry.