NPI 1356621163 · live from the CMS NPI Registry
Jacob Stewart Anderson, MA, OTR/L
Occupational Therapist in Morganton, NC. National Provider Identifier 1356621163, active.
NPI record
| NPI | 1356621163 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 700 East Parker Road, Po Drawer 989, Morganton, NC 28655 |
| Practice phone | 828-439-4332 |
| Mailing address | 2391 Burke Memorial Park Rd, Valdese, NC 28690 |
| Enumerated | August 24, 2011 |
| Last updated | March 17, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 1738 (WV) |
| Occupational Therapist primary | 225X00000X | 12625 (NC) |
| Occupational Therapist | 225X00000X | OTR2444 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.