Amy Beth Speer, OTR, MOT, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

2009019126 Issued in MO

Practice address

3747 SW Raintree Dr
Lees Summit, MO 64082-4606

Phone

(816) 537-5648

Fax

(816) 537-5649

NPI assigned

Jul 16, 2009

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Beth Broadhurst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1033349725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 SW RAINTREE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824606",
            "telephone_number": "816-537-5648",
            "fax_number": "816-537-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "OTR, MOT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KS",
            "license": "17-02618",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2009019126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BROADHURST",
            "middle_name": "BETH",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaun Sousley, PHARM.D.
• Jessica Soutter
• Sam Michael Spangler, RN, BSN, CCRN
• Rosann Elizabeth Sparks, LMFT
• Speech and Language Solutions, LLC
• Spencer and Spencer Pediatric Dentistry, DDS, PC
• Glynn Stephen Spencer Jr., D.D.S.
• Jodie L Spencer, DDS
• Spira Care, LLC
• Philip John Spitznagle, RPH

• Hand Occupational Therapist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Hand Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.