Amanda Kay Bruins, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

N10090 Abbey Rd
Crivitz, WI 54114-8187

Phone

(920) 319-2975

NPI assigned

Jul 29, 2026

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1104748094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N10090 ABBEY RD",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541148187",
            "telephone_number": "920-319-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10090 ABBEY RD",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541148187",
            "telephone_number": "920-319-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUINS",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellin Memorial Hospital Inc
• Meghan Rose Berken, PHARMD
• Brianna Blanck-Grott, D.C.
• Kellen Blanck-Grott, D.C.
• Suzette M Bornemann, APNP
• Jessica Bucksa, PHARMD
• Cheryl Lou Buechler, LPN
• Crivitz Medical Center
• Peter Curio, M.D.
• Virginia L Deschane, RN

• All providers in Crivitz, WI
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.