Active NPI
Amanda L. Irving, MS, OTR/L
- Occupational Therapist
- Kensington, MD
National Provider Identifier
1073175196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08485
- Practice address
- 5268 Nicholson LN
Kensington, MD 20895-1009 - Phone
- (301) 770-5437
- NPI assigned
- Jun 29, 2019
- 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 | 08485 | MD | Primary |
Addresses
Primary practice location
5268 Nicholson LN
Kensington, MD 20895-1009
Mailing address
720 Young Way
Westminster, MD 21158-4235
Phone (443) 974-0674
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amandairv@mocomc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08485 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therafit Enterprises, Inc. | Occupational Therapist | Current | Accepting new patients |
| Therafit Enterprises, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
1220 E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 415-1992
511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1073175196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 YOUNG WAY",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211584235",
"telephone_number": "443-974-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5268 NICHOLSON LN",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208951009",
"telephone_number": "301-770-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "AMANDA",
"middle_name": "L.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-29",
"last_updated": "2019-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08485",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amandairv@mocomc.com",
"affiliation": "N",
"endpointDescription": "encripted email",
"address_1": "5268 Nicholson Ln",
"city": "Kensington",
"state": "MD",
"country_code": "US",
"postal_code": "208951009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.