Active NPI
Amanda Crean, MS OTR/L
- Occupational Therapist
- Sound Beach, NY
National Provider Identifier
1063880029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019968-1
- Practice address
- 12 Sea Cliff Dr
Sound Beach, NY 11789-1849 - Phone
- (631) 484-2510
- NPI assigned
- Sep 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019968-1 | NY | Primary |
Addresses
Primary practice location
12 Sea Cliff Dr
Sound Beach, NY 11789-1849
Mailing address
12 Sea Cliff Road
Sound Beach, NY 11789
Phone (631) 484-2510
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019968-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1063880029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SEA CLIFF ROAD",
"city": "SOUND BEACH",
"state": "NY",
"postal_code": "11789",
"telephone_number": "631-484-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SEA CLIFF DR",
"city": "SOUND BEACH",
"state": "NY",
"postal_code": "117891849",
"telephone_number": "631-484-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAN",
"first_name": "AMANDA",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019968-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sound Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.