Active NPI
Amanda Marie Maier, MSOTR/L, CLT
- Occupational Therapist
- Bardstown, KY
National Provider Identifier
1023311776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R4612
- Practice address
- 375 Pennsylvania Avenue Suite a
Bardstown, KY 40004 - Phone
- (502) 349-6961
- NPI assigned
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | R4612 | KY | Primary |
Addresses
Primary practice location
375 Pennsylvania Avenue Suite a
Bardstown, KY 40004
Mailing address
17522 Mimich Way
Louisville, KY 40245
Phone (502) 794-5848
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4612 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1023311776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17522 MIMICH WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40245",
"telephone_number": "502-794-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 PENNSYLVANIA AVENUE SUITE A",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "40004",
"telephone_number": "502-349-6961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIER",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSOTR/L, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R4612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.