Provider Demographics
NPI: | 1033791728 |
---|---|
Name: | ANCHOR THERAPY SOLUTIONS PLLC |
Entity Type: | Organization |
Organization Name: | ANCHOR THERAPY SOLUTIONS PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OCCUPATIONAL THERAPIST / OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MICHAEL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LEASE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OTR/L |
Authorized Official - Phone: | 252-772-3923 |
Mailing Address - Street 1: | 3537 M L KING JR BLVD # 287 |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW BERN |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28562-2209 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 252-772-3923 |
Mailing Address - Fax: | 910-726-3678 |
Practice Address - Street 1: | 3280 WELLONS BLVD |
Practice Address - Street 2: | |
Practice Address - City: | NEW BERN |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28562-5234 |
Practice Address - Country: | US |
Practice Address - Phone: | 252-772-3923 |
Practice Address - Fax: | 910-726-3678 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-04-22 |
Last Update Date: | 2024-04-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Environmental Modification | Group - Multi-Specialty |
No | 225XE1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Ergonomics | Group - Multi-Specialty |
No | 225XG0600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | Group - Multi-Specialty |
No | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | Group - Multi-Specialty |
No | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Mental Health | Group - Multi-Specialty |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |
No | 225XR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Driving and Community Mobility | Group - Multi-Specialty |