Individual provider Active NPI

Amy L McLelland, OTR/L,CHT

  • Hand Occupational Therapist
  • Sandusky, OH
National Provider Identifier
1083689319
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
1011100242 Issued in OH
Practice address
4806 Timber Commons Dr
Suite a
Sandusky, OH 44870-7161
Phone
(419) 627-2526
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-03766 OH
Hand Occupational Therapist 225XH1200X 1011100242 OH Primary

Addresses

Primary practice location

4806 Timber Commons Dr
Suite a
Sandusky, OH 44870-7161

Mailing address

4806 Timber Commons Dr
Suite a
Sandusky, OH 44870-7161
Phone (419) 627-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-03766OHMDOccupational Therapist
1011100242OHMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1083689319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 TIMBER COMMONS DR",
            "address_2": "SUITE A",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707161",
            "telephone_number": "419-627-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 TIMBER COMMONS DR",
            "address_2": "SUITE A",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707161",
            "telephone_number": "419-627-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLAND",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "OTR/L,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-03766",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "1011100242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.