Individual provider Active NPI

Vanessa Anaya Ochs, MOTR/L

  • Occupational Therapist
  • Valdosta, GA
National Provider Identifier
1992182943
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007430 Issued in GA
Practice address
2704 N Oak St BLDG A2
Valdosta, GA 31602-5900
Phone
(229) 253-1009
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3368 NM
Pediatric Occupational Therapist 225XP0200X OT007430 GA
Occupational Therapist 225X00000X OT007430 GA Primary

Addresses

Primary practice location

2704 N Oak St BLDG A2
Valdosta, GA 31602-5900

Mailing address

2704 N Oak St BLDG A2
Valdosta, GA 31602-5900
Phone (229) 253-1009

Other practice location 1

5006 Copper Avenue, NE
ExplorAbilities
Albuquerque, NM 87108
Phone (505) 268-7988

Other identifiers 3

IdentifierTypeStateIssuer
003224876AMedicaidGA
10171568MedicaidNM
326556OtherNMMEDICARE

Other names 1

  • Vanessa Anaya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000127 GA Practitioner - Occupational Therapist in Private Practice 9830506039 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT007430GAMDPediatric Occupational Therapist
3368NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Rehab Services, LLC Occupational Therapist CurrentSince Mar 30, 2021 Accepting new patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Jan 5, 2022 Accepting new patients
Amistad Family Services Inc Occupational Therapist Past Accepting new patients
Choice Family Medicine, PC Past Accepting new patients
Explorabilities Inc Occupational Therapist Past Accepting new patients

Locations

2301 Bemiss Rd
Valdosta, GA 31602
Phone (229) 244-1667

Organizations & group practices 5

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1992182943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG A2",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025900",
            "telephone_number": "229-253-1009",
            "fax_number": "229-253-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG A2",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025900",
            "telephone_number": "229-253-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Copper Avenue, NE",
            "address_2": "ExplorAbilities",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87108",
            "country_code": "US",
            "telephone_number": "505-268-7988",
            "fax_number": "505-268-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCHS",
        "first_name": "VANESSA",
        "middle_name": "ANAYA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "3368",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT007430",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003224876A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10171568",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "326556",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "ANAYA",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.