Active NPI
Amanda Gilroy, OTR/L
- Occupational Therapist
- Voorhees, NJ
National Provider Identifier
1053858720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00767900
- Practice address
- 113 Route 73
Voorhees, NJ 08043-9573 - Phone
- (856) 809-3500
- NPI assigned
- Jan 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00767900 | NJ | Primary |
| Occupational Therapist | 225X00000X | OC014774 | PA |
Addresses
Primary practice location
113 Route 73
Voorhees, NJ 08043-9573
Mailing address
327 S 12TH St
Apt 301
Philadelphia, PA 19107-5962
Phone (570) 817-2138
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00767900 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hodi Lymphatic Center LLC | Occupational Therapist | Current | Accepting new patients |
Locations
115 Gateway Shopping Ctr
Kingston, PA 18704
Phone (570) 938-4634
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Edwardsville, PA
- NPI 1508477084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1053858720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 S 12TH ST",
"address_2": "APT 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075962",
"telephone_number": "570-817-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 ROUTE 73",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080439573",
"telephone_number": "856-809-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILROY",
"first_name": "AMANDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00767900",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC014774",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.