Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derrick A Anim

Individual provider Occupational Therapist · NPI 1699603159

Derrick A Anim is an Occupational Therapist in Private Practice in Bridgeport, Connecticut. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
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Practice location Address checks out

2612 N Ave Unit E14
Bridgeport, CT 06604-2394
Phone: (845) 405-2799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 031149 (NY)

Record details

NPI number1699603159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address2612 North Ave Unit E14, Bridgeport, CT 06604-2394

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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