Individual provider Active NPI

Amanda Woltz, OTR/L

  • Occupational Therapist
  • Asheboro, NC
National Provider Identifier
1013361104
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10321 Issued in NC
Practice address
610 N Fayetteville St Ste 201
Asheboro, NC 27203-4671
Phone
(336) 633-4263
Fax
(336) 633-4267
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10321 NC Primary

Addresses

Primary practice location

610 N Fayetteville St Ste 201
Asheboro, NC 27203-4671

Mailing address

6397 Lee Hwy #300
Chattanooga, TN 37421-2564
Phone (423) 238-8923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717000017 NC Practitioner - Occupational Therapist in Private Practice 9234409715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 N Church St
Suite 230
Greensboro, NC 27405-3675
Phone (336) 275-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Hand Specialist, LLC CurrentSince Jun 1, 2017 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Occupational Therapist CurrentSince Apr 20, 2021 Accepting new patients
Benchmark Physical Therapy of NC, LLC Occupational Therapist CurrentSince Apr 20, 2021 Accepting new patients
Physical Therapy and Hand Specialists, LLC Occupational Therapist CurrentSince Jun 1, 2017 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 201
Asheboro, NC 27203
Phone (336) 633-4263

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

2001 N Church St
Ste 230
Greensboro, NC 27405
Phone (336) 275-1711

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1013361104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY #300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST STE 201",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034671",
            "telephone_number": "336-633-4263",
            "fax_number": "336-633-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTZ",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.