Amanda Kershner, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5330 Issued in SC

Practice address

1051 Johnnie Dodds Blvd Ste G
Mt Pleasant, SC 29464-3100

Phone

(315) 559-3754

NPI assigned

Sep 18, 2018

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Stern at Home Physical Therapy PC

  dba Stern At Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380
  Medicare reassignment NPD

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1104300938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 REID ST APT C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294036660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD STE G",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "315-559-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHNER",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "5330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Kenny, APRN
• Abby Kent, NP
• Anya Kent, D.D.S.
• Kerry Wischusen Counseling & Mindfulness
• Sean Kershaw
• Allison Lou Kerwin
• Ketamine Treatment Services (Dunes West Medical Clinic)
• Nicole Perrin Ketchin, PAC
• Kaitlin Hope Kettleson, COTA/L
• Michelle Keutzer, CRNA

• Pediatric Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.