Individual provider Active NPI

Amanda Searcy, OTR/L

  • Occupational Therapist
  • Fayetteville, GA
National Provider Identifier
1093463192
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004752 Issued in GA
Practice address
165 Wendell CT
Fayetteville, GA 30215-2113
Phone
(706) 975-9602
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT004752 GA Primary

Addresses

Primary practice location

165 Wendell CT
Fayetteville, GA 30215-2113

Mailing address

165 Wendell CT
Fayetteville, GA 30215-2113
Phone (706) 975-9602

Other practice location 1

165 Wendell Ct
Fayetteville, GA 30215-2113
Phone (706) 975-9602

Other practice location 2

165 Wendell Ct
Fayetteville, GA 30215-2113
Phone (706) 975-9602

Other practice location 3

165 Wendell Ct
Fayetteville, GA 30215-2113
Phone (706) 975-9602

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT004752GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1093463192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WENDELL CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152113",
            "telephone_number": "706-975-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WENDELL CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152113",
            "telephone_number": "706-975-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Wendell Ct",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302152113",
            "country_code": "US",
            "telephone_number": "706-975-9602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Wendell Ct",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302152113",
            "country_code": "US",
            "telephone_number": "706-975-9602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Wendell Ct",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302152113",
            "country_code": "US",
            "telephone_number": "706-975-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEARCY",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.