Individual provider Active NPI

Amanda Leyva Sellin, COTA

  • Occupational Therapy Assistant
  • Niles, MI
National Provider Identifier
1043483019
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202008834 Issued in MI
Practice address
1211 Stateline Rd
Niles, MI 49120-4729
Phone
(269) 684-2810
Fax
(269) 684-0726
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001584A IN
Occupational Therapy Assistant 224Z00000X 5202008834 MI Primary

Addresses

Primary practice location

1211 Stateline Rd
Niles, MI 49120-4729

Mailing address

9337 Kramer Dr
Bridgman, MI 49106-9347
Phone (269) 326-0727

Other names 1

  • Mrs. Amanda L. Sellin Other name

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

LicenseStateTypeSpecialty
32001584AINMDOccupational Therapy Assistant
5202008834MIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1043483019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337 KRAMER DR",
            "city": "BRIDGMAN",
            "state": "MI",
            "postal_code": "491069347",
            "telephone_number": "269-326-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 STATELINE RD",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204729",
            "telephone_number": "269-684-2810",
            "fax_number": "269-684-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLIN",
        "first_name": "AMANDA",
        "middle_name": "LEYVA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001584A",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SELLIN",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "COTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.