Amanda Laine Flynn, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17559 Issued in NC

Practice address

3905 University Dr
Durham, NC 27707-2517

Phone

(919) 928-0204

NPI assigned

Jan 30, 2025

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)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Emerge-a Child'S Place, PLLC

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1730229188

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1083427264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 SUNLIGHT DR APT 308",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277079062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-928-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "AMANDA",
        "middle_name": "LAINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-04-04",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Joann Floyd-Wilson, LCSW-A
• Beth N. I. Floyd, M.D.
• Denae L Floyd
• Scott Richard Floyd, MD, PHD
• Mackenzie Rae Flug
• Andrew Flynn
• Ashley Flynn
• Kelly Delany Flynn, MD
• Kim B Flynn, RN
• Lada Flynn, NP

• Occupational Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.