Healthcare Provider Details

I. General information

NPI: 1275467821
Provider Name (Legal Business Name): ANISHA VINANTI CARR OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 WELLWOOD CT
SILVER SPRING MD
20905-5749
US

IV. Provider business mailing address

10811 AMHERST AVE APT C
SILVER SPRING MD
20902-4379
US

V. Phone/Fax

Practice location:
  • Phone: 240-938-9943
  • Fax:
Mailing address:
  • Phone: 240-938-9943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number10344
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: