DERRICK A ANIM
NPI 1699603159
Occupational Therapist in Bridgeport, CT

Active since May 13, 2026
2612 NORTH AVE UNIT E14, BRIDGEPORT, CT 06604(845) 405-2799 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick A Anim NPPES

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

DERRICK A ANIM (NPI 1699603159) is an individual occupational therapist in Bridgeport, Connecticut, licensed in New York (031149) and active in the NPI registry since May 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1699603159
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameDERRICK A ANIM
Location Address2612 NORTH AVE UNIT E14Bridgeport, CT 06604-2394
Mailing Address2612 North Ave Unit E14Bridgeport, CT 06604-2394 · (845) 405-2799
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
NPI 1699603159 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 NY · 031149
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.
2612 NORTH AVE UNIT E14, Bridgeport, CT 06604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derrick A Anim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951871615
PECOS Enrollment IDI20260523000080

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 Derrick Anim's NPI number?

The NPI number for Derrick Anim is 1699603159. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Derrick Anim located?

Derrick Anim practices at 2612 North Ave Unit E14, Bridgeport, CT 06604. The listed phone number is (845) 405-2799.

What is Derrick Anim's specialty?

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

Is Derrick Anim enrolled in Medicare?

Yes. Derrick Anim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Anim was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.