Active NPI
Anne Marie Eisenmann, MSOT, OTR/L
- Occupational Therapist
- Monterey, CA
National Provider Identifier
1952012916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT25449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25449 | CA | MD | General Practice Dentistry |
| OT25449 | CA | MD | Occupational Therapist |
| 23661 | FL | MD | Occupational Therapist |
| OT2546 | ID | MD | Occupational Therapist |
| 46TR01067900 | NJ | MD | Occupational Therapist |
| 468587 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Occupational Therapist | Current | 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.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Occupational Therapist
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.