Active NPI
Amber Renee Thomas, MS, OTR/L
- Occupational Therapist
- Canandaigua, NY
National Provider Identifier
1124549779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020828-1
- Practice address
- 3220 Middle Cheshire Rd
Canandaigua, NY 14424-2470 - Phone
- (585) 394-0570
- NPI assigned
- Jul 5, 2017
- 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 | 020828-1 | NY | Primary |
Addresses
Primary practice location
3220 Middle Cheshire Rd
Canandaigua, NY 14424-2470
Mailing address
3220 Middle Cheshire Rd
Canandaigua, NY 14424-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020828-1 | NY | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499212800000",
"number": "1124549779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 MIDDLE CHESHIRE RD",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 MIDDLE CHESHIRE RD",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242470",
"telephone_number": "585-394-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMBER",
"middle_name": "RENEE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2017-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020828-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.