AVA ANDERSON MOT
NPI 1629958095
Occupational Therapist in Bridgeport, WV

Active since September 05, 2025Accepts Medicare Assignment
415 BENEDUM DR, BRIDGEPORT, WV 26330(304) 842-9887(304) 842-9888 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ava Anderson Mot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVA ANDERSON MOT (NPI 1629958095) is an individual occupational therapist in Bridgeport, West Virginia, licensed in West Virginia (2549) and active in the NPI registry since September 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1629958095
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameAVA ANDERSONCredential: MOT
Location Address415 BENEDUM DRBridgeport, WV 26330-1503
Mailing Address415 Benedum DrBridgeport, WV 26330-1503 · (304) 842-9887 · Fax (304) 842-9888
Fax(304) 842-9888
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1629958095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WV · 2549
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
415 BENEDUM DR, Bridgeport, WV 26330

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ava Anderson Mot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436644515
PECOS Enrollment IDI20251217001124

Medicare Billing Reassignment

Medicare enrollment records show Ava Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
306 W MAIN ST
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
415 BENEDUM DR
BRIDGEPORT, WV 26330
Occupational Therapist
415 BENEDUM DR
BRIDGEPORT, WV 26330
Physical Therapist
415 BENEDUM DR
BRIDGEPORT, WV 26330
Skilled Nursing Facility
415 BENEDUM DR
BRIDGEPORT, WV 26330
Speech-Language Pathologist
415 BENEDUM DR
BRIDGEPORT, WV 26330
Speech-Language Pathologist
415 BENEDUM DR
BRIDGEPORT, WV 26330
Occupational Therapist
415 BENEDUM DR
BRIDGEPORT, WV 26330
Occupational Therapist
415 BENEDUM DR
BRIDGEPORT, WV 26330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ava Anderson's NPI number?

The NPI number for Ava Anderson is 1629958095. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Ava Anderson located?

Ava Anderson practices at 415 Benedum Dr, Bridgeport, WV 26330. The listed phone number is (304) 842-9887.

What is Ava Anderson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Ava Anderson enrolled in Medicare?

Yes. Ava Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ava Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ava Anderson reassigns Medicare benefits to Wv Therapy Services LLC (Bridgeport, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ava Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ava Anderson was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.