Organization Active NPI

Amity Point, LLC

  • Occupational Therapist
  • Davenport, IA
National Provider Identifier
1104524370
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AMITY POINT, LLC
Practice address
3906 Lillie Ave Ste 5
Davenport, IA 52806-4400
Phone
(563) 223-8404
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Amanda Godwin, OTD, OTR/LNPI 1427665264
Title
Occupational Therapist
Phone
(563) 223-8404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3906 Lillie Ave Ste 5
Davenport, IA 52806-4400

Mailing address

PO Box B
Decatur, IA 50067-0167

National Provider Directory

National Provider Directory

Locations

3906 Lillie Ave
Ste 6
Davenport, IA 52806
Phone (563) 223-8404

3906 Lillie Ave
Ste 5
Davenport, IA 52806
Phone (563) 223-8404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1104524370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "DECATUR",
            "state": "IA",
            "postal_code": "500670167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 LILLIE AVE STE 5",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064400",
            "telephone_number": "563-223-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY POINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "563-223-8404",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.