Individual provider Active NPI

Anna Annecca, OTD, OTR/L

  • Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1982162749
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC016204 Issued in PA
Practice address
1125 Sansom St Apt 416
Philadelphia, PA 19107-4862
Phone
(954) 806-9860
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OC016204 PA Primary

Addresses

Primary practice location

1125 Sansom St Apt 416
Philadelphia, PA 19107-4862

Mailing address

1125 Sansom St Apt 416
Philadelphia, PA 19107-4862
Phone (954) 806-9860

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
OC016204PAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1982162749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SANSOM ST APT 416",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074862",
            "telephone_number": "954-806-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SANSOM ST APT 416",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074862",
            "telephone_number": "954-806-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNECCA",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.