Individual provider Active NPI

Amanda L. Irving, MS, OTR/L

  • Occupational Therapist
  • Kensington, MD
National Provider Identifier
1073175196
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08485 Issued in MD
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

Updated by the provider on Jun 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address amandairv@mocomc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213000898 MD Practitioner - Occupational Therapist in Private Practice 1052841533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
08485MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince Dec 5, 2024 Accepting new patients
Therafit Enterprises, Inc. Occupational Therapist CurrentSince Dec 5, 2024 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.

Verify at the official NPI Registry.