Active NPI
Amanda Marie Metcalf, OTRL
- Occupational Therapist
- West Bloomfield, MI
National Provider Identifier
1114229879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201007617
- Practice address
- 7005 Pontiac TRL
West Bloomfield, MI 48323-2181 - Phone
- (248) 738-8101
- NPI assigned
- Nov 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201007617 | MI | Primary |
Addresses
Primary practice location
7005 Pontiac TRL
West Bloomfield, MI 48323-2181
Mailing address
19424 Mayfield Ave Apt 203
Livonia, MI 48152-4202
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1114229879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19424 MAYFIELD AVE APT 203",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481524202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 PONTIAC TRL",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232181",
"telephone_number": "248-738-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.