Individual provider Active NPI

Anne Marie Eisenmann, MSOT, OTR/L

  • Occupational Therapist
  • Monterey, CA
National Provider Identifier
1952012916
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25449 Issued in CA
Practice address
1501 Skyline Dr
Monterey, CA 93940-4110
Phone
(831) 373-3716
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 23661 FL
Occupational Therapist 225X00000X OT25449 CA Primary
Occupational Therapist 225X00000X 468587 OR
Occupational Therapist 225X00000X OT2546 ID
Occupational Therapist 225X00000X 46TR01067900 NJ

Addresses

Primary practice location

1501 Skyline Dr
Monterey, CA 93940-4110

Mailing address

9394 W Dodge Rd Ste 300
Omaha, NE 68114-3319

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
25449CAMDGeneral Practice Dentistry
OT25449CAMDOccupational Therapist
23661FLMDOccupational Therapist
OT2546IDMDOccupational Therapist
46TR01067900NJMDOccupational Therapist
468587ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Jan 22, 2025 Accepting new patients

Locations

13391 N 94th Dr
Peoria, AZ 85381
Phone (623) 232-9841

13822 S 46th Pl
Phoenix, AZ 85044
Phone (480) 598-1224

Organizations & group practices 1

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1952012916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9394 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SKYLINE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404110",
            "telephone_number": "831-373-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMANN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "23661",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT25449",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "468587",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT2546",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01067900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.