Active NPI
Amanda E Sturm, MS, OTR/L
- Occupational Therapist
- Paducah, KY
National Provider Identifier
1003121054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 131969
- Practice address
- 3235 Olivet Church Rd Ste D
Paducah, KY 42001-9545 - Phone
- (270) 443-5712
- NPI assigned
- Aug 14, 2010
- Last updated
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 131969 | KY | Primary |
Addresses
Primary practice location
3235 Olivet Church Rd Ste D
Paducah, KY 42001-9545
Mailing address
3235 Olivet Church Rd Ste D
Paducah, KY 42001-9545
Phone (270) 556-3933
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100145730 | Medicaid | KY | |
| 131969 | Other | KY | KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY |
Other names 1
- Amanda E Harton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131969 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1003121054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 OLIVET CHURCH RD STE D",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019545",
"telephone_number": "270-556-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 OLIVET CHURCH RD STE D",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019545",
"telephone_number": "270-443-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURM",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-14",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "131969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100145730",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY",
"identifier": "131969",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HARTON",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.