Amanda J Dinneen, COTA
Individual provider Active NPI Occupational Therapy Assistant · Central City, NE
NPI 1033758347 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1033758347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 431920 (NE)
- Practice address
- 2720 17TH Ave
Central City, NE 68826-9614 - Phone
- (308) 946-3088
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 431920 | NE | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 431920 | NE | Yes |
Addresses
Primary practice location
2720 17TH Ave
Central City, NE 68826-9614
Mailing address
415 S River Ave
Exeter, NE 68351-4179
Phone (402) 266-1300
Other names
- Amanda Budd
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- Traci A Dieckmann
- Jolene Loree Dittmer
- Ashley R Dye
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- Tara Faeh
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All providers in Central City, NE · Occupational Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.