Individual provider Active NPI

Amanda Gail Babcock, COTA

  • Occupational Therapy Assistant
  • Kenmore, NY
National Provider Identifier
1124501507
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
009828 Issued in NY
Practice address
353 Kinsey Ave
Kenmore, NY 14217-1816
Phone
(716) 208-1252
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 009828 NY Primary

Addresses

Primary practice location

353 Kinsey Ave
Kenmore, NY 14217-1816

Mailing address

353 Kinsey Ave
Kenmore, NY 14217-1816
Phone (716) 208-1252

Other practice location 1

603 Division St
North Tonawanda, NY 14120-4461
Phone (716) 692-1049

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

LicenseStateTypeSpecialty
009828NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1124501507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 KINSEY AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171816",
            "telephone_number": "716-208-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 KINSEY AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171816",
            "telephone_number": "716-208-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Division St",
            "address_purpose": "LOCATION",
            "city": "North Tonawanda",
            "state": "NY",
            "postal_code": "141204461",
            "country_code": "US",
            "telephone_number": "716-692-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "AMANDA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.