Active NPI
Amanda McClain
- Occupational Therapist
- Hamburg, MI
National Provider Identifier
1114385358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201009290
- Practice address
- 10400 Hamburg Rd
Hamburg, MI 48139-1204 - Phone
- (419) 902-2987
- NPI assigned
- Feb 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201009290 | MI | Primary |
Addresses
Primary practice location
10400 Hamburg Rd
Hamburg, MI 48139-1204
Mailing address
10685 Aqua LN
South Lyon, MI 48178-9594
Phone (419) 902-2987
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009290 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1114385358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10685 AQUA LN",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481789594",
"telephone_number": "419-902-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 HAMBURG RD",
"city": "HAMBURG",
"state": "MI",
"postal_code": "481391204",
"telephone_number": "419-902-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, MI
- Kensington Valley Orthotic & Sports Services
- Jacquelin Kay Kilburn, OT
- Luci H. Klinkhamer, CCC-SLP
- Matthew Koziol, DPT
- Livingston Eyecare Associates, LLC
- Michigan Rehabilitation Specialists House Calls, P.C.
- Michigan Rehabilitation Specialists, LLC
- Daniel Quentin Minert, C. O.
- Occupational Therapy Services, Inc.
- Kimberly Ann Ozias, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.