Amanda Diez Stewart, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3062 Issued in TN

Practice address

32 Garland Dr
Jackson, TN 38305-3602

Phone

(731) 664-3645

Fax

(731) 668-6549

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1073545661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HIGHWAY 45 BYP",
            "address_2": "STE 604",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054436",
            "telephone_number": "731-660-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GARLAND DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053602",
            "telephone_number": "731-664-3645",
            "fax_number": "731-668-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AMANDA",
        "middle_name": "DIEZ",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen E. Collier, M.D. P.C.
• Mark Alan Stephens, PHARM.DL
• William Stepp Jr., MD
• Steven a Sopcak DC
• Steven Ralph Brown
• Earl L Stewart, MD
• Jonathan G Stigler, DO
• Britton Marie Stockdale, LMSW
• Hollie Stockdale, RN, BSN, IBCLC
• Lillian Shea Stoffregen, LMSW

• Occupational Therapist in Jackson, TN
• Providers in Jackson, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.