Amanda Graham Spaw, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.200091 Issued in LA

Practice address

2122 Airline Dr Ste 200
Bossier City, LA 71111-3270

Phone

(318) 828-1450

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Graham Bakowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

80.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

35.42

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Function First Physical Therapy, LLC

  • Geriatric Physical Therapist
  • Shreveport, LA
  • NPI 1114430071

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1073392353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065947",
            "telephone_number": "318-828-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 AIRLINE DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113270",
            "telephone_number": "318-828-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Albemarle Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711065947",
            "country_code": "US",
            "telephone_number": "318-828-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAW",
        "first_name": "AMANDA",
        "middle_name": "GRAHAM",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BAKOWSKI",
            "middle_name": "GRAHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southerncare, Inc. (Gentiva)
• Sow & Reap Physical Therapy, LLC
• Esther Sowell
• Jamie Leigh Sparkman, PA-C
• Brian Wayne Sparks, PA-C
• Speak Up Pediatric Therapy LLC
• Kendrick Speech
• Spine Center of Excellence LLC (Spine Center of Excellence)
• Beverly Spooner, R.N.
• Hannah Diane Sprague, PLPC

• Occupational Therapist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.