Individual provider Active NPI

Amy L Proctor, COTA/L

  • Occupational Therapy Assistant
  • Gettysburg, PA
National Provider Identifier
1124590435
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A01704 Issued in MD
Practice address
867 York Rd
Gettysburg, PA 17325
Phone
(301) 399-7631
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 A01704 MD Primary

Addresses

Primary practice location

867 York Rd
Gettysburg, PA 17325

Mailing address

346 E Railroad St Apt 12
Gettysburg, PA 17325-1608
Phone (301) 399-7631

Other practice location 1

7200 3rd Ave
Sykesville, MD 21784
Phone (410) 795-8800

Other practice location 2

7200 3rd Ave
Sykesville, MD 21784
Phone (410) 795-8800

Other practice location 3

7200 3rd Ave
Sykesville, MD 21784
Phone (410) 795-8800

Other practice location 4

7200 3rd Ave
Sykesville, MD 21784
Phone (410) 795-8800

Other names 1

  • Amy L Muzia Former name

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
A01704MDMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1124590435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 E RAILROAD ST APT 12",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173251608",
            "telephone_number": "301-399-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 YORK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "17325",
            "telephone_number": "301-399-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "21784",
            "country_code": "US",
            "telephone_number": "410-795-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "21784",
            "country_code": "US",
            "telephone_number": "410-795-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "21784",
            "country_code": "US",
            "telephone_number": "410-795-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "21784",
            "country_code": "US",
            "telephone_number": "410-795-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A01704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MUZIA",
            "middle_name": "L",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.