Individual provider Active NPI

Amanda Morales, OTD, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1023626025
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Phone
(312) 432-2513
NPI assigned
Jul 16, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 Primary

Addresses

Primary practice location

1611 W Harrison St Ste 107
Chicago, IL 60612-4861

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other practice location 1

1664 E Main St
Easley, SC 29640-3790
Phone (864) 654-2001

Other practice location 2

11091 N Radio Station Rd
Seneca, SC 29678-1142

Other practice location 3

501 Forest Ln Ste A
Clemson, SC 29631-2621
Phone (864) 654-2001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106000315 AZ Practitioner - Occupational Therapist in Private Practice 1951728773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1254
Phone (602) 258-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hand Surgery PC CurrentSince Jan 9, 2023 Accepting new patients
Arizona Center for Hand Surgery PC CurrentSince Jan 9, 2023 Accepting new patients
Arizona Center for Hand Surgery PC Past Accepting new patients

Locations

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

2111 W University Dr
Mesa, AZ 85201
Phone (480) 206-6240

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

3329 E Bell Rd
Ste A5
Phoenix, AZ 85032

370 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 206-6240

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

9220 E Mountain View Rd
Ste 102
Scottsdale, AZ 85258
Phone (480) 661-8348

9220 E Mountain View Rd
Ste 200
Scottsdale, AZ 85258
Phone (480) 451-6756

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1023626025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST STE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-432-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1664 E Main St",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296403790",
            "country_code": "US",
            "telephone_number": "864-654-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11091 N Radio Station Rd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781142",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Forest Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296312621",
            "country_code": "US",
            "telephone_number": "864-654-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "AMANDA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.